scholarly journals Management of post tonsillectomy secondary haemorrhage: Flinders experience

2018 ◽  
Vol 1 ◽  
pp. 31-31
Author(s):  
Nuwan Dharmawardana ◽  
Dhinashini Chandran ◽  
Anna Elias ◽  
Stephen Shih-Teng Kao ◽  
Eng Hooi Ooi
Keyword(s):  
Secondary Haemorrhage

scholarly journals Immediate and delayed complications of adenotonsillectomy

2019 ◽  
Vol 5 (4) ◽  
pp. 1013
Author(s):  
Gerald P. Sebastian ◽  
Balasubramanian Thiagarajan ◽  
Pethuru Devadason
Keyword(s):  
Postoperative Complications ◽  
Observational Study ◽  
Endotracheal Tube ◽  
Surgical Complications ◽  
Surgical Complication ◽  
P Value ◽  
Secondary Haemorrhage ◽  
Delayed Complications ◽  
Primary Hemorrhage ◽  
Anesthetic Complications

<p class="abstract"><strong>Background:</strong> Tonsillectomy with or without adenoidectomy is the commonest pediatric otorhinolaryngological procedure. The aim of the present study was to compare the intraoperative (immediate) and postoperative (delayed) complications between in conventional and coablation tonsillectomy in children.</p><p class="abstract"><strong>Methods:</strong> This observational study was conducted among 100 children between 5 and 15 years who had conventional tonsillectomy and 50 children who had coblation tonsillectomy. Intraoperative and postoperative complications were observed and compared between two groups.  </p><p class="abstract"><strong>Results:</strong> Of the total 150 children, 64 (42.7%) were males and 86 (57.3%) were females with mean age of 9.42±2.67 years. Common preoperative symptoms were odynophagia (96.0%), throat pain (95.3%) and difficult swallowing (89.3%). Among the intraoperative anesthetic complications, compression of endotracheal tube was observed in 19 (12.7%), accidental extubation in 10 (6.7%) and dislodging of loose tooth in 9 (6.0%) patients. Regarding intraoperative surgical complications, primary hemorrhage was seen in 43 (28.7%), edema uvula in 39 (26.0%) and pillar injury in 33 (22.0%) patients. Commonest postoperative complication was oropharyngeal pain (18.7%) followed by primary hemorrhage (14.0%) and nausea, vomiting (13.3%). Immediate complications like primary haemorrhage (p value 0.0001) and uvula edema (p value 0.018) were significantly associated with conventional tonsillectomy group while delayed complications like secondary haemorrhage (p value 0.011) and referred otalgia (p value 0.0001) were with coblation tonsillectomy group.</p><p class="abstract"><strong>Conclusions:</strong> Compression of endotracheal tube and primary hemorrhage were the commonest intraoperative anesthetic and surgical complication respectively. Immediate complications were significantly associated with conventional tonsillectomy group while delayed complications were with coblation tonsillectomies.</p>

Secondary haemorrhage from the arterial anastomosis of renal allografts

1972 ◽  
Vol 59 (11) ◽  
pp. 890-891 ◽  
Author(s):  
A. J. Robson ◽  
D. B. Evans ◽  
R. Y. Calne
Keyword(s):  
Renal Allografts ◽  
Arterial Anastomosis ◽  
Secondary Haemorrhage

Secondary post-tonsillectomy haemorrhage and informed consent

2004 ◽  
Vol 118 (12) ◽  
pp. 937-940 ◽  
Author(s):  
R.J. Alexander ◽  
R. Kukreja ◽  
G.R. Ford
Keyword(s):  
Informed Consent ◽  
Incidence Study ◽  
Older Age ◽  
Men And Women ◽  
Significant Difference ◽  
Post Operation ◽  
Secondary Haemorrhage

This is a prospective incidence study of 250 secondary post-tonsillectomy haemorrhages from a population of 2706 tonsillectomies performed over a seven-year period, which aims to ascertain the incidence and character of post-tonsillectomy secondary haemorrhage. Out of 250 post-tonsillectomy secondary bleeds (9.2 per cent of total; 95 per cent CI = 8.2 per cent – 10.4 per cent), 39 patients had a severe bleed (1.4 per cent; 95 per cent CI = 1.2 per cent – 2.1 per cent). The incidence of secondary tonsillectomy haemorrhage increased with age, peaking at 30–34 years in both men and women (p < 0.001), with no statistically significant difference between the two sexes (p = 0.23). The incidence of serious haemorrhage increases in the older age categories (p = 0.005) but is not influenced by gender (p = 0.50). The majority of secondary tonsillectomy haemorrhages presented between the fourth and seventh day post-operation (69.8 per cent). These results now provide the basis for informed consent for a tonsillectomy in our department.

Secondary Haemorrhage after Appendicectomy

BMJ ◽  
1939 ◽  
Vol 1 (4094) ◽  
pp. 1306-1306
Author(s):  
J. A. Martinez
Keyword(s):  
Secondary Haemorrhage

On Secondary Hæmorrhage

1944 ◽  
Vol 30 (1) ◽  
pp. 22-25
Author(s):  
W. G. GILL
Keyword(s):  
Secondary Haemorrhage

Isolated convergence-retraction nystagmus secondary to intralesional haemorrhage of a pineal cyst: an easily missed neurological finding with potentially life-threatening consequences

2020 ◽  
Vol 13 (9) ◽  
pp. e233469
Author(s):  
Kristine Woodward ◽  
Amith Sitaram ◽  
Steven Peters
Keyword(s):  
Case Report ◽  
Stable Condition ◽  
Visual Disturbance ◽  
Clinical Findings ◽  
Close Monitoring ◽  
Pineal Cyst ◽  
Haemorrhagic Transformation ◽  
Neurological Finding ◽  
Life Threatening ◽  
Secondary Haemorrhage

This case report describes a patient who presented to the emergency department with intermittent visual disturbance and was found to have convergence-retraction nystagmus. This occurred in the setting of supratherapeutic anticoagulation on warfarin for an aortic dissection graft repair. Urgent imaging demonstrated haemorrhagic transformation of a previously identified incidental pineal cyst. After close monitoring given the risk of secondary hydrocephalus, the patient was discharged in stable condition with symptom resolution and without any further significant complications. This case report highlights the importance of identifying subtle clinical findings and the risk of secondary haemorrhage of pineal cysts when on anticoagulation. While the risk of secondary hydrocephalus is a significant concern, clinically stable patients can be followed without need for neurosurgical intervention.

The early complications of inferior trubinectomy

1987 ◽  
Vol 101 (11) ◽  
pp. 1136-1139 ◽  
Author(s):  
P. J. D. Dawes
Keyword(s):  
Retrospective Study ◽  
Septal Perforation ◽  
Early Complications ◽  
Secondary Haemorrhage

SummaryA retrospective study has assessed the early complications occurring in 90 patients who underwent inferior turbinectomy during a 3-year period. The operation was complicated by haemorrhage, adhesions, crusting, infection and septal perforation in a proportion of cases, the overall incidence being 20 per cent, and that of significant reactionary or secondary haemorrhage was 9 per cent. Attention has been directed towards possible aetiological factors and measures proposed that may minimise the occurrence of complications.

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