Advertisement

Is Day Care Tonsillectomy a Safe Procedure?

  • Sapna Ramkrishna ParabEmail author
  • Mubarak M. Khan
Original Article
  • 4 Downloads

Abstract

Tonsillectomy with or without adenoidectomy is the commonest procedure performed by an otolaryngologist. It has been performed as an in-patient procedure. To present our experience of 15 years of day care tonsillectomy with or without adenoidectomy and to assess the safety of tonsillectomy as a day care procedure. Design: retrospective study. A retrospective study of all day care tonsillectomies with or without adenoidectomies operated at a Secondary care ENT Hospital from 2002 to 2016 has been carried out. In last 15 years, we have operated 1207 tonsillectomies with or without adenoidectomies as a day care procedure. Postoperatively, the patients were discharged after observing for 6 to 8 h. Out of 1207 patients, 3 patients required readmission due to bleeding and 5 due to pain. Hence the overall readmission rate following tonsillectomy was 8/1027, which equals to 0.778 percent. Two patients with postoperative bleeding within 6 h were taken up for exploration and control of hemostasis. One patient of secondary haemorrhage was managed conservatively. None of the patients required blood transfusion. Day care tonsillectomy with or without adenoidectomy is a safe procedure as long as the patients are carefully selected. It is also cost effective. Level of evidence: Level 4.

Keywords

Tonsillectomy Adenoidectomy Day care Post-operative bleeding 

Notes

Compliance with Ethical Standards

Conflict of interest

All authors declare that we have no conflict of interest.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional committee and with the 1964 helsinski declaration and its later ammendments or comparable ethical standards. Institutional Ethics Committee has approved the study.

Informed Consent

Informed consent was obtained from all individual participants included in the study.

References

  1. 1.
    Young JR, Bennett J (2004) History of Tonsillectomy. ENT News 13:34–35Google Scholar
  2. 2.
    Feldmann H (1997) 200 year history of tonsillectomy. Images from the history of otorhinolaryngology, highlighted by instruments from the collection of the German Medical History Museum in Ingolstadt. Laryngorhinootologie 76(12):751–760CrossRefGoogle Scholar
  3. 3.
    Júnior JFN, Hermann DR, Américo RR, Stamm RG, Hirata CW (2006) A brief history of tonsillectomy. Int Arch Otorhinolaryngol 10(4):314–317Google Scholar
  4. 4.
    Karatzanis A, Bourolias C, Prokopakis E et al (2008) Thermal welding technology vs ligature tonsillectomy: a comparative study. Am J Otolaryngol 29(4):238–241CrossRefGoogle Scholar
  5. 5.
    Windfuhr JP, Wienke A, Chen YS (2009) Electrosurgery as a risk for secondary post-tonsillectomy haemorrhage. Eur Arch Otorhinolaryngol 266:111–116CrossRefGoogle Scholar
  6. 6.
    Wieland A, Belden L, Cunningham M (2009) Preoperative coagulation screening for adenotonsillectomy: A review and comparison of current physician practices. Otolaryngol-Head Neck Surg 140(4):542–547CrossRefGoogle Scholar
  7. 7.
    Windfuhr JP, Schloendorff G, Baburi D, Kremer B (2008) Life threatening post tonsillectomy haemorrhage. The Laryngoscope 118(8):1389–1394CrossRefGoogle Scholar
  8. 8.
    Chiang TM, Sukis AE, Ross DE (1968) Tonsillectomy performed on an outpatient basis. Report of a series of 40,000 cases performed without a death. Arch Otolaryngol 88(1968):307–310CrossRefGoogle Scholar
  9. 9.
    Wong HT, Hui TS, Chong AW (2016) Is Daycare Tonsillectomy Safe? Iranian J Otorhinolaryngol 28(86):183Google Scholar
  10. 10.
    Kakande I, Nassali G, Kituuka GO (2005) Day care surgery: the norm for elective surgery. East Cent Afr J Surg 10(2):1–4Google Scholar
  11. 11.
    Granell J, Gete P, Villagruela M, Bolanos C, Vicent JJ (2004) Safety of outpatient tonsillectomy in children: a review of 6 years in a tertiary hospital experience. Otolaryngol Head Neck Surg 131:383–387CrossRefGoogle Scholar
  12. 12.
    White PF (2000) Ambulatory anesthesia advances into the new millennium. Anesth Analg 90:1234–1235CrossRefGoogle Scholar
  13. 13.
    Wig J (2005) The current status of day care surgery: a review. Indian J Anaesth. 49:459Google Scholar
  14. 14.
    Smith I, White PF, Nathanson M, Gouldson R (1994) Propofol: an update on its clinical uses. Anesthesiology 81:1005–1043CrossRefGoogle Scholar
  15. 15.
    Patel SS, Goa KL (1995) Desflurane: a review of its pharmacodynamic and pharmacokinetic properties and its efficacy in general anaesthesia. Drugs 50:742–767CrossRefGoogle Scholar
  16. 16.
    Smith I, Nathanson MH, White PF (1995) The role of sevoflurane in out patient anesthesia. Anesth Analg 81:S67–S72CrossRefGoogle Scholar
  17. 17.
    Pandit SK, Green CR (1994) General anesthetic techniques. Int Anesth Clinic 32:3255–3280Google Scholar
  18. 18.
    Randel GI, Levy L, Kothary SP, Pandit SK (1992) Propofol versus thiamylal enflurane anesthesia for outpatient laparoscopy. J Clin Anesth 4:185–189CrossRefGoogle Scholar
  19. 19.
    Lebenbom-Mansour MH, Pandit SK, Kothary SP, Randel GI, Levy L (1993) Desflurane versus propofol anesthesia: a comparative analysis in outpatients. Anesth Analg 76:936–941CrossRefGoogle Scholar
  20. 20.
    Chung Frances (1997) Postoperative pain in ambulatory surgery. Anesth Analg 85:808–816CrossRefGoogle Scholar
  21. 21.
    Shetty A, Raveendra US (2015) Anesthesia for day care surgery. Nitte University J Health Sci NUJHS 5:97–103Google Scholar

Copyright information

© Association of Otolaryngologists of India 2019

Authors and Affiliations

  1. 1.Sushrut ENT Hospital and Dr. Khan’s ENT Research CenterTalegaon Dabhade, PuneIndia

Personalised recommendations