Published online Mar 6, 2021. doi: 10.12998/wjcc.v9.i7.1543
Peer-review started: August 4, 2020
First decision: December 14, 2020
Revised: December 27, 2020
Accepted: January 20, 2021
Article in press: January 20, 2021
Published online: March 6, 2021
Tonsillectomy is the most common procedure for pediatric recurrent acute tonsillitis and tonsillar enlargement that contributes to obstructive sleep apnea hypopnea syndrome. Postoperative hemorrhage of tonsillectomy is a life-threatening compli-cation.
To improve the management of postoperative hemorrhage of tonsillectomy.
To identify the risk factors that may contribute to primary and secondary post-operative hemorrhage in pediatric tonsillectomy.
A retrospective analytical study was performed, which included clinical data from 5015 consecutive patients who underwent tonsillectomy from January 2009 to December 2018. Characteristics of the patients from the primary bleeding group and the secondary bleeding group were compared with those of the nonbleeding group separately.
The method of tonsillectomy and experience of the surgeon were significantly associated with primary hemorrhage, while age and time of onset were significantly associated with secondary hemorrhage. There was a signiﬁcant difference in the intervention measures between the primary bleeding group and the secondary bleeding group.
Coblation tonsillectomy and junior surgeons contribute to the tendency for primary hemorrhage. Age and time of onset are responsible for secondary hemorrhage.
The incidence rate of post-tonsillectomy hemorrhage is low, and lethal hemorrhage rarely occurs. The risks of postoperative hemorrhage should be given more attention.