Incidence of Primary and Secondary Hemorrhage in Post Tonsillectomy Children.

Numair Javed, Shahid Walidad, Muhammad Wajahat, Saddam Hussain Abbasi



Objective: The main aim of this study was to find the incidence of primary and secondary hemorrhage in patients who have undergone tonsillectomy between 3-14 years of age.

Type of Study: It is a cross sectional study.

Place and duration of study: This study was carried out in a duration or 8 months from February 2018 to September 2018 in ENT department of Mayo Hospital Lahore.

Materials and Methods: A total of 196 patients were selected in 8 months period in between the ages of 3 to 14 years. Both males and females were selected randomly. Close monitoring was done to look for primary or secondary hemorrhage after the patients were operated for tonsillitis.

Approval was taken from the ethical committee. Informed consent was taken from the parents of patients. After tonsillectomy patients were observed closely to look for hemorrhage. Follow up of the patients was assured and anyone having hemorrhage was selected for the study.

Results: After age distribution 48(24.9%) of the patients were between 3-5 years of age. 56(28.57%) of the patients were between 6-8 years, 43(21.9%) of the patients were between 9-11 years, and 49(25%) of the patients were between 12-14 years of age.

Out of 196 cases hemorrhage either primary or secondary was seen in total 17(8.67%) of the patients out of which primary hemorrhage was seen in 4(23. 53%) of the patients and 13(76.47%) of the patients had secondary hemorrhage.

Conclusion: Our study concluded that secondary hemorrhage is more common than primary hemorrhage in children who had undergone tonsillectomy and were between the age of 3-14 years and it requires more attention and close monitoring.

Keywords: Tonsillectomy, Primary hemorrhage, Secondary Hemorrhage.

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