scholarly journals Complication rates for paediatric tonsillectomy based on Scottish national data 2000-2018

Author(s):  
Christy Moen ◽  
Haytham Kubba ◽  
Laura Downie
2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
N Thompson ◽  
I Street

Abstract Introduction Tonsillectomies are one of the most commonly performed procedures., with one particular leading tertiary paediatric centre performing 1,067 tonsillectomies within the last year. Post-tonsillectomy haemorrhage is a considerable complication leading to further primary care costs, readmission, and surgical intervention. Previous national audits have suggested that post-tonsillectomy haemorrhage rates are between 3.0-3.5%1 and readmission rates are approximately 8.8%2. Aim Assess post-tonsillectomy haemorrhage and readmission rates at a leading tertiary paediatric centre. Method A prospective phone survey was completed for every patient receiving a tonsillectomy 6 weeks post-operatively, using a 2-month inclusion period. Results Of the 51 patients included, 51 responded to phone survey. The total post-tonsillectomy haemorrhage rate was 23.5%. Of the 51 respondents, 10 (19.6%) were readmitted through A&E, all of which had extracapsular tonsillectomies. 1 (10%) of those readmitted had further surgical intervention whilst the remaining 9 (90%) were treated conservatively. A further 4 (7.8%) attended their GP, with 3 (75%) of those requiring antibiotics. Conclusions This data shows that both the post-tonsillectomy haemorrhage and readmission rates at the tertiary paediatric centre were higher than the national average. We suggest that previous national data audits describing bleeding rates lack the granularity to reveal true post-operative complication rates. Our prospective cohort has demonstrated that there may be a large proportion of patients with morbidity that never reach the attention of the ENT surgeon and additionally that subgroups in particular may benefit from interventions designed to minimise patients’ post-operative risks, including specific perioperative management and advice.


2021 ◽  
Vol 108 (Supplement_7) ◽  
Author(s):  
A B Mohammad Monirul Islam ◽  
Thomas Seddon

Abstract Aims Bile Duct injury is one of the serious complications of Laparoscopic Cholecystectomy and should be avoided. Several recent large studies that have examined Bile Duct Injuries (BDI) during cholecystectomy have found major BDI rates of 0.15-0.36% and an overall biliary complication rate of 1.5% if bile leaks are included. We wished to identify our current complication rate and compare to national data. Methods Retrospective study Data time frame from: 01/01/2019 to 31/10/2019 Type of patients: All patients who underwent elective or emergency laparoscopic cholecystectomy between the above dates Results 312 patients identified and analyzed over the study period. 227 female (72.76%) and 85 male (27.24%) 268 Elective operations (85.9%). 44 Emergency operations (14.10%) Primary outcome Secondary outcomes Conclusions KGH performed 312 cholecystectomy operations between Jan - Oct 2019, putting it in the upper 1/3 of hospitals regarding the number of operations performed per year. (1) The complication rate for the study period was 0.32%. This was one out of the 312 operations. Our incidence of complications is lower than published data reporting complication rates, including bile leaks, of up to 1.5%. There were no bile duct injuries during the study period. The majority (>85%) of cases were performed as elective operations.


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