Fazali Wahid, Amir Hamza, Qaiser Khan, Habibur Rehman, Iftikhar Ahmad.
Complications of tonsillectomy experienced at Lady Reading Hospital Peshawar.
Pak J Med Health Sci Jan ;5(4):771-4.

Objective: To determine the incidence of complications in patients undergoing tonsillectomy at lady reading hospital Peshawar. Material and methods: This descriptive prospective study was carried out at the department of Ear, Nose, Throat, Head and Neck Surgery, Postgraduate Medical Institute Lady Reading Hospital Peshawar from Jan. 2008 to Dec. 2010.In these 2 years duration 4557 tonsillectomies were performed but only 35 patients developed complications after tonsillectomy. After admitting these patients were put on injectable third generation antibiotics with a dose of 50mg/ kg body weight in divided doses. After resuscitating patients were evaluated completely. Most of the complications were treated conservatively. Results: This study was conducted on 35 cases having post-tonsillectomy complications constituting 19 male and 16 female, with male: female ratio of 1.18: 1. The age of the patients ranged from 07-42 years with mean age of 20.89+S.D 8.08 years. After admitting the patients most of the patients (40%) were treated conservatively while 34.28% patients underwent various surgical techniques for controlling complications of tonsillectomy. Secondary hemorrhage (2-10 days) was on top (0.26%) followed by primary hemorrhage in 6 cases (0.13%) and other rare complications. Conclusion: It is concluded from our study that postoperative bleeding was the commonest complication of tonsillectomy which was controlled mainly conservatively.

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