Laryngo- rhino- otologie · 2004
[Postoperative bleeding after tonsillectomy between 1985 and 2001 and experiences to perform laser tonsillotomy].
Сравнительное исследованиеАннотация на английскомСтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Günzel Th, Zenev E, Heinze N, Schwager K
Аннотация
BACKGROUND: Tonsillectomy is one of the most often performed surgery in our specialty. But postoperative bleeding is not only a statistic risk, it can lead to a tragic end individually. In the future and according to the DRGs, a postoperative stay in hospital for more than 6 days will be difficult to realise.
METHODS: 10 052 patients after tonsillectomy were measured, 7663 were performed in the ORL-Department of Würzburg, 2389 in the ORL-Department of Augsburg. Further data was measured by questioning the parents of 65 young children after lasertonsillotomy.
PATIENTS: The patient group of the tonsillectomies included all ages, the group of the lasertonsillotomies included young children aged 1- 6 years.
RESULTS: The first spike of bleedings of the ORL-Department in Würzburg was found within the first 24 hours after surgery. A second spike showed between the 5 (th) and 7 (th) postoperative day, an other after the 8 (th) and 15 (th) postoperative day. In the ORL-Department Augsburg the main spike was found from the 7 (th) until the 9 (th) postoperative day. No postoperative bleedings were found in the lasertonsillotomies.
CONCLUSIONS: A postoperative stay in hospital is sufficient for 3 days, but should vary individually. On young children with symptomatic hyperplasia of the tonsils a lasertonsillotomy should be performed.
METHODS: 10 052 patients after tonsillectomy were measured, 7663 were performed in the ORL-Department of Würzburg, 2389 in the ORL-Department of Augsburg. Further data was measured by questioning the parents of 65 young children after lasertonsillotomy.
PATIENTS: The patient group of the tonsillectomies included all ages, the group of the lasertonsillotomies included young children aged 1- 6 years.
RESULTS: The first spike of bleedings of the ORL-Department in Würzburg was found within the first 24 hours after surgery. A second spike showed between the 5 (th) and 7 (th) postoperative day, an other after the 8 (th) and 15 (th) postoperative day. In the ORL-Department Augsburg the main spike was found from the 7 (th) until the 9 (th) postoperative day. No postoperative bleedings were found in the lasertonsillotomies.
CONCLUSIONS: A postoperative stay in hospital is sufficient for 3 days, but should vary individually. On young children with symptomatic hyperplasia of the tonsils a lasertonsillotomy should be performed.