Post tonsillectomy haemorrhage

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Abstract
In a review of 3756 cases of tonsillectomy, the incidence of reactionary and secondary hemorrhage was the same (1%). Both types of hemorrhage were more common in adults. In the 10-19 yr age group, significantly more females than males had secondary bleeding. Although the majority occurred during the winter months, no patient with secondary hemorrhage had obvious respiratory tract infection. The use of diathermy at operation, while associated with a higher rate of secondary bleeding, significantly reduced the number of reactionary hemorrhages, which are responsible for a high proportion of post-tonsillectomy fatalities.

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