Occurrence of coagulation factor deficiency in post-tonsillectomy hemorrhage

Abstract

This study shows that, even if routine diagnostics show normal pre-surgical coagulation findings, the investigation of single factors in cases of post-surgical late bleeding may identify coagulation disorders allowing the application of tailored therapy. Including such analysis in pre-operative diagnostics could therefore significantly help to limit postoperative bleeding.

Recurrent Post Tonsillectomy Secondary Hemorrhage in Patients with Factor XIII Deficiency: A Case Series and Review of Literature

“…One article reported a case of severe recurrent PTH with normal coagulation profile and factor XIII level of 56% with four attacks of bleeding that all required surgical intervention with no history of prior bleeding [17]. The second article reported a case with severe recurrent PTH and factor XIII level of 57% with seven attacks of bleeding all of which required surgical intervention [18]. In our case series, all patients required surgical hemostasis using bipolar coagulation, tonsillar fossa suturing, with a range from one to four times.…”