prikaz prve stranice dokumenta Incidence of Post-tonsillectomy and Post-adenotonsillectomy Hemorrhage in 5125 Patients Operated During the 1994-2005 Period at Department of ENT, Head and Neck Surgery, Osijek University Hospital in Osijek, Croatia
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Scientific paper - Original scientific paper
Incidence of Post-tonsillectomy and Post-adenotonsillectomy Hemorrhage in 5125 Patients Operated During the 1994-2005 Period at Department of ENT, Head and Neck Surgery, Osijek University Hospital in Osijek, Croatia
Acta clinica Croatica, 46 (2007), 3; 247-250. urn:nbn:hr:239:146133
Maksimović, Zlatko; Vranješ, Željko; Stakić, Ana; Zubčić, Željko; Birtić, Darija

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Maksimović, Z., Vranješ, Ž., Stakić, A., Zubčić, Ž. & Birtić, D. (2007). Incidence of Post-tonsillectomy and Post-adenotonsillectomy Hemorrhage in 5125 Patients Operated During the 1994-2005 Period at Department of ENT, Head and Neck Surgery, Osijek University Hospital in Osijek, Croatia. Acta clinica Croatica, 46. (3), 247-250. Retrieved from https://urn.nsk.hr/urn:nbn:hr:239:146133

Maksimović, Zlatko, et al. "Incidence of Post-tonsillectomy and Post-adenotonsillectomy Hemorrhage in 5125 Patients Operated During the 1994-2005 Period at Department of ENT, Head and Neck Surgery, Osijek University Hospital in Osijek, Croatia." Acta clinica Croatica, vol. 46, no. 3, 2007, pp. 247-250. https://urn.nsk.hr/urn:nbn:hr:239:146133

Maksimović, Zlatko, Željko Vranješ, Ana Stakić, Željko Zubčić and Darija Birtić. "Incidence of Post-tonsillectomy and Post-adenotonsillectomy Hemorrhage in 5125 Patients Operated During the 1994-2005 Period at Department of ENT, Head and Neck Surgery, Osijek University Hospital in Osijek, Croatia." Acta clinica Croatica 46, no. 3 (2007): 247-250. https://urn.nsk.hr/urn:nbn:hr:239:146133

Maksimović, Z., et al. (2007) 'Incidence of Post-tonsillectomy and Post-adenotonsillectomy Hemorrhage in 5125 Patients Operated During the 1994-2005 Period at Department of ENT, Head and Neck Surgery, Osijek University Hospital in Osijek, Croatia', Acta clinica Croatica, 46(3), pp. 247-250. Available at: https://urn.nsk.hr/urn:nbn:hr:239:146133 (Accessed 08 December 2024)

Maksimović Z, Vranješ Ž, Stakić A, Zubčić Ž, Birtić D. Incidence of Post-tonsillectomy and Post-adenotonsillectomy Hemorrhage in 5125 Patients Operated During the 1994-2005 Period at Department of ENT, Head and Neck Surgery, Osijek University Hospital in Osijek, Croatia. Acta clinica Croatica [Internet]. 2007 [cited 2024 December 08];46(3):247-250. Available at: https://urn.nsk.hr/urn:nbn:hr:239:146133

Z. Maksimović, Ž. Vranješ, A. Stakić, Ž. Zubčić and D. Birtić, "Incidence of Post-tonsillectomy and Post-adenotonsillectomy Hemorrhage in 5125 Patients Operated During the 1994-2005 Period at Department of ENT, Head and Neck Surgery, Osijek University Hospital in Osijek, Croatia", Acta clinica Croatica, vol. 46, no. 3, pp. 247-250, 2007. [Online]. Available at: https://urn.nsk.hr/urn:nbn:hr:239:146133. [Accessed: 08 December 2024]

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Title (english)Incidence of Post-tonsillectomy and Post-adenotonsillectomy Hemorrhage in 5125 Patients Operated During the 1994-2005 Period at Department of ENT, Head and Neck Surgery, Osijek University Hospital in Osijek, Croatia
Title (croatian)Incidencija krvarenja nakon tonzilektomije i adenotonzilektomije u 5125 bolesnika operiranih od 1994. do 2005. godine na odjelu za uho, grlo, nos i kirurgiju glave i vrata Kliničke bolnice Osijek u Osijeku
AuthorZlatko Maksimović
MBZ: 132245
AuthorŽeljko Vranješ
MBZ: 201762
AuthorAna Stakić
AuthorŽeljko Zubčić
MBZ: 345090
AuthorDarija Birtić
MBZ: 342581
Author's institution(Clinical hospital center Osijek)
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Otorhinolaryngology
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Surgery
Abstract (english)
The aim of this study was to determine the incidence of post-tonsillectomy and post-adenotonsillectomy hemorrhage, and to evaluate risk factors that contribute to this hemorrhage. It was a retrospective study including 5125 patients operated in general anesthesia at our Department between January 1, 1994 and December 31, 2005. A total of 169 (3.29 %) patients experienced postoperative bleeding; 69 (40.82%) of them required revision in operating room under general anesthesia. The incidence of bleeding was highest in the 20.01-30 age group. Primary bleeding (<24 h) occurred in 39 (0.76%) and secondary bleeding in 130 (2.53%) patients. The highest incidence of secondary post-tonsillectomy and post-adenotonsillectomy hemorrhage was between day 6 and day 7 of the operation. There was no statistical significance between men and women in the day when bleeding occurred. In the group of patients requiring revision in the operating room under general anesthesia, 59 (85%) patients had no additional diagnoses that may have contributed to postoperative hemorrhage. Two cases of excessive post-tonsillectomy bleeding requiring suture ligation of the external carotid artery are reported. Hemorrhage following tonsillectomy and adenotonsillectomy is rare and occurs mainly 6 days after surgery. A vast majority of patients do not need revision in the operating room. Male patients aged 20-30 were found to have an increased risk of postoperative hemorrhage.
Abstract (croatian)
Cilj studije bio je utvrditi incidenciju krvarenja nakon tonzilektomije i adenotonzilektomije te procijeniti čimbenike rizika koji tom krvarenju doprinose. Ovo je bila retrospektivna studija 5125 bolesnika operiranih u općoj anesteziji na našem Odjelu od 1. siječnja 1994. do 31. prosinca 2005. godine. Poslijeoperacijsko krvarenje zabilježeno je u 169 (3,29%) bolesnika; kod 69 (40,82%) od njih bila je potrebna revizija zahvata u općoj anesteziji u operacijskoj sali. Incidencija krvarenja bila je najviša u dobnoj skupini od 20,01 do 30 godina. Primarno krvarenje (<24 h) je nastupilo u 39 (0,76%), a sekundarno krvarenje u 130 (2,53%) bolesnika. Najviša incidencija sekundarnog krvarenja poslije tonzilektomije i adenotonzilektomije zabilježena je između 6. i 7. dana od operacije. Nije bilo statistički značajne razlike u danu nastupa krvarenja između muških i ženskih bolesnika. U skupini bolesnika kod kojih je bila potrebna revizija zahvata pod općom anestezijom u operacijskoj sali 59 (85%) bolesnika nije imalo nikakve dodatne dijagnoze koje bi mogle doprinijeti poslijeoperacijskom krvarenju. Opisujemo dva slučaja prekomjernog krvarenja nakon tonzilektomije koji su zahtijevali ligaturu vanjske karotidne arterije šavovima. Krvarenje nakon tonzilektomije i adenotonzilektomije je rijetko i nastupa uglavnom 6 dana od operacije. Kod velike većine bolesnika nije potrebna revizija u operacijskoj sali. Utvrdili smo kako muški bolesnici u dobi od 20 do 30 godina imaju povećan rizik od poslijeoperacijskog krvarenja.
Keywords (english)
Keywords (croatian)
Languageenglish
Publication typeScientific paper - Original scientific paper
Publication statusPublished
Peer reviewPeer review - international
Publication versionPublished version
Journal titleActa clinica Croatica
Numberingvol. 46, no. 3, pp. 247-250
p-ISSN0353-9466
e-ISSN1333-9451
URN:NBNurn:nbn:hr:239:146133
Publication2007
Document URLhttps://hrcak.srce.hr/index.php?show=clanak&id_clanak_jezik=28476
Type of resourceText
Access conditionsOpen access
Terms of useLicence Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) icon
Created on2020-04-15 07:50:17