- Procedure: Removal of tonsils
Complications of Tonsillectomy
-
Primary Hemorrhage Bleeding occurring during the surgery Causes
- Bleeding tendency
- Acute infections
- Bad technique Management
- General supportive measures
- Diathermy, ligature or stitches
- Packing
-
Reactionary Hemorrhage: Bleeding occurring within the first 24 hours postoperative period Causes
- Bleeding tendency
- Slipped ligature Diagnosis
- Rising pulse & dropping blood pressure
- Blood trickling from the mouth
- Frequent swallowing
- Examination
-
Secondary Hemorrhage:
- Occurs 5-10 days postoperatively,
- secondary to infection,
- treated with antibiotics
- May need intraoperative control of persistent
-
Respiratory obstruction
-
Injury to near-by structures
Treatment:
- General supportive measures
- Take patient back to OR
- Control like primary hemorrhage
