Abstract
Amongst fears about iatrogenic transmission of new variant Creutzfeldt-Jakob disease (vCJD), last year the Department of Health of the U.K. advised that all adenotonsillectomies be performed using disposable instruments. Following implementation of these guidelines, many consultants reported an increase in post-tonsillectomy haemorrhage in association with the use of disposable instruments. We have undertaken a retrospective study of tonsillectomy and have confirmed a significant increase in the incidence of return to the theatre for arrest of postoperative haemorrhage (5.32% vs. 2.18%) during the period when disposable instruments were used.
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Fraser H, Bruce M, DaviesD, Farguhar C, McBride P (1992) The lymphoreticular system in the pathogenesis of scrapie. In: Prion diseases of humans and animals. Ellis Horwood, London, pp 308–317
Advisory Committee on Dangerous Pathogens and Spongiform Encephalopathy Advisory Committee (1998) Transmissible spongiform encephalopathy agents: safe working and the prevention of infection. Stationary Office, London
Bernoulli C, Siegfried J, Baumgartner G, Regli F, Rabiniwicz T et al (1977) Danger of accidental person-to-person transmission of Creuzfeldt-Jakob disease by surgery. Lancet 1: 478–479
McKerrow W (1998) Tonsillectomy and adenoidectomy. In: Statements of clinical effectiveness. BAO-HNS, Royal College of Surgeons, London, pp 49–61
Wei J, Beatty C, Gustafon R (2000) Evaluation of post tonsillectomy haemorrhage and risk factors. Otolaryngol. Head Neck Surg 123: 229–235
Handler S, Miller L, Richmond K (1986) Post-tonsillectomy haemorrhage: incidence, prevention and management. Laryngoscope 96: 1243–1247
Schroeder W (1996) Post-tonsillectomy haemorrhage: a 10-year retrospective study. Missouri Med 92: 592–595
Blair R, McKerrow W, Carter N, Fenton A et al (1996) The Scottish tonsillectomy audit. J L O 110 [Suppl 20]: 1–25
Lloyd Faulconbridge R, Fowler S, Horrocks J, Topham J (2000) Comparative audit of tonsillectomy. Clin Otol 25: 110–117
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Hopkins, C., Geyer, M. & Topham, J. Post-tonsillectomy haemorrhage: a 7-year retrospective study. Eur Arch Otorhinolaryngol 260, 454–455 (2003). https://doi.org/10.1007/s00405-003-0609-8
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DOI: https://doi.org/10.1007/s00405-003-0609-8