DOI: http://dx.doi.org/10.18203/issn.2454-5929.ijohns20163188

Local application of haemocoagulase for control of haemorrhages after tonsillectomy: a study in a teaching hospital

Harikrishna Kishore

Abstract


Background: Post-tonsillectomy haemorrhage remains the most serious complication of tonsillectomy. Many topical agents have been used to control the post-operative bleeding by the surgeons. This study was undertaken to evaluate hemocoagulase as a local application in tonsillectomy for the control of primary, reactionary and secondary haemorrhages.

Methods: 50 patients, between the ages 5-60 years, who came with chronic tonsillitis or adenoid hypertrophy, were included into the study. The surgery was performed under general anaesthesia by tonsillar resection or tonsilloadenoid resection.  

Results: The most common age group to be affected was between 5 and 15 years, though in this age group the number of females and males were the same, accounting for 28% each of the total number of patients. Among the 50 patients, only 5 (10%) of them had reactionary haemorrhage, which was immediately contained. None of the patients had either primary or secondary haemorrhage.

Conclusions: The use of hemocoagulase has after tonsillectomy has definite advantage in controlling post-operative bleeding. It can be used as a routine application after tonsillectomy to control the bleeding.


Keywords


Tonsillectomy, Post-operative bleeding, Haemocoagulase, Local application

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