[For prevention of complications, especially postoperative bleeding, in tonsillectomy and adenoidectomy (author's transl)]. 1981

R Jakse

Hemorrhages after tonsillectomy and adenoidectomy are the most frequent lethal complications except of the mortality due to incidents of anaesthesia. A precise clinical, personal and family history regarding bleeding disorders must be taken. We preoperatively perform laboratory tests on each patient (Platelet count, PTT, Quick, Thrombintest, Fibrinogen, Bleeding Time) to detect possible bleeding disorders. Furthermore, we ask for previous medications, such as analgetics, sedatives and antiarthritics. A careful surgical technique for removal of tonsils and adenoids and meticulous hemostasis reduce the danger of postoperative bleeding. An exact control after the operation helps prevent serious complications.

UI MeSH Term Description Entries
D008297 Male Males
D011183 Postoperative Complications Pathologic processes that affect patients after a surgical procedure. They may or may not be related to the disease for which the surgery was done, and they may or may not be direct results of the surgery. Complication, Postoperative,Complications, Postoperative,Postoperative Complication
D005260 Female Females
D006470 Hemorrhage Bleeding or escape of blood from a vessel. Bleeding,Hemorrhages
D006490 Hemostatics Agents acting to arrest the flow of blood. Absorbable hemostatics arrest bleeding either by the formation of an artificial clot or by providing a mechanical matrix that facilitates clotting when applied directly to the bleeding surface. These agents function more at the capillary level and are not effective at stemming arterial or venous bleeding under any significant intravascular pressure. Antihemorrhagic,Hemostatic,Antihemorrhagics
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000233 Adenoidectomy Excision of the adenoids. (Dorland, 28th ed) Adenoidectomies
D000933 Antifibrinolytic Agents Agents that prevent fibrinolysis or lysis of a blood clot or thrombus. Several endogenous antiplasmins are known. The drugs are used to control massive hemorrhage and in other coagulation disorders. Antifibrinolysin,Antifibrinolysins,Antifibrinolytic,Antifibrinolytic Agent,Antiplasmin,Antiplasmins,Antifibrinolytics,Plasmin Inhibitor,Plasmin Inhibitors,Agent, Antifibrinolytic,Agents, Antifibrinolytic,Inhibitor, Plasmin,Inhibitors, Plasmin
D014068 Tonsillectomy Surgical removal of a tonsil or tonsils. (Dorland, 28th ed) Tonsillectomies
D017679 Cryotherapy A form of therapy consisting in the local or general use of cold. The selective destruction of tissue by extreme cold or freezing is CRYOSURGERY. (McGraw-Hill Dictionary of Scientific and Technical Terms, 4th ed) Cold Therapy,Therapy, Cold,Cold Therapies,Cryotherapies,Therapies, Cold

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