Essay about Common Surgical Procedures Performed On Children

949 Words Sep 19th, 2016 4 Pages
Tonsillectomies are among the most common surgical procedures performed on children. Children younger than 15 years of age receive more than 530,000 tonsillectomies each year in the United States.1 The most common surgical indications are recurrent upper respiratory infections and sleep apnea caused by airway obstruction.1 After the 1970s, indications of surgical necessity have gone from being associated with infections to being more commonly caused by upper airway obstruction.2 Tonsillectomies are usually performed in an outpatient setting, and patients are discharged a few hours after the procedure. The reported list of possible postoperative complications include adverse effects of anesthesia, pain, bleeding, dehydration, burn injuries, respiratory compromise from laryngospasm, negative-pressure pulmonary edemas, and central apnea.1,3 While most procedures are uneventful, life-threatening complications can occur.
Post-tonsillectomy bleeding is the most common complication after the procedure.1 The most common bleeding location, the tonsillar fossa, accounts for 67% and 27% in the nasopharynx of the post-tonsillectomy bleeding cases.4 Such bleeding can be classified as primary or secondary hemorrhage. Primary hemorrhage occurs within the first 24 hours of surgery as a result of inadequate hemostasis. Nearly 75% of post-tonsillectomy bleeding results from primary hemorrhage occurring within 6 hours of surgery.4 Secondary hemorrhage occurs more than 24 hours following…

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