Post-tonsillectomy hemorrhage after bipolar diathermy vs. cold dissection surgical techniques in Alahsa region, Saudi Arabia

Peer review under responsibility of Alexandria University Faculty of Medicine.

Financial support used for the study: No financial support was used.

Available online 17 August 2015

Figures & data

Figure 1 Indication for tonsillectomy.

Table 1 Patients characteristics.

Characteristics	Frequency, n	%
Ages (mean 8.3 years)
0–6 Years	10	22.2
>6 Years	35	77.8
Medication used
1 – Ventolin	9	20.0
2 – Flixonase	2	4.50
3 – Nasonex	2	4.50
4 – Others	32	70.1
Medication allergy
1 – Penicillin	4	8.80
2 – Others	1	2.20
3 – None	40	89.0
Other illness
1 – Asthma	9	20.0
2 – DM	2	4.40
3 – Allergic rhinitis	3	6.60
4 – Epilepsy	1	2.20
5 – None	30	66.8
Development and growth delay
1 – Normal	43	95.5
2 – Abnormal	2	4.50

Table 2 Post-tonsillectomy hemorrhage according to operation techniques.

	Bipolar diathermy	Cold dissection	P value
	Frequency, n
Age groups/years
0–6	8	2	0.338
>6	29	6
Other illness
Asthma	7	2	0.641
D.M.	1	1
Allergy	3	0
Epilepsy	1	0
Others	20	5
Sides of bleeding
Left side	19	5	0.810
Right side	16	5
Bleeding after operation
<5 days	22	2	0.032
5–10 days	8	5
>10 days	8	0
Vital sign
With tachycardia	7	2	0.116
Without tachycardia	34	2
Hemoglobin variation
<1.0 gm/dl	13	2	1.000
>1.0 gm/dl	26	4

P value <0.05 is reveled significant, D.M.: diabetes mellitus.

Table 3 The mean level of laboratory analysis in pre and postoperation patients.

Laboratory analysis	Mean ± SD		P value
	Pre-operation	Post-operation
Hemoglobin (g/dl)	13.4 ± 1.3	12.3 ± 1.1	0.000
PT (s)	12.1 ± 1.5	12.5 ± 1.2	0.166
APTT (s)	28.8 ± 1.2	29.2 ± 1.6	0.183
INR	0.9 ± 1.0	1.1 ± 1.3	0.415

P value < 0.05 is reveled significant; PT, prothrombin time; APTT, activated partial thromboplastin time; INR, international normalize ratio.