A mean red blood cell volume loss in tonsillectomy, adenoidectomy and adenotonsillectomy

ALATAŞ N., San I., Cengiz M., Iynen I., Yetkin A., Korkmaz B., ...Daha Fazla

International Journal of Pediatric Otorhinolaryngology, cilt.70, sa.5, ss.835-841, 2006 (SCI-Expanded) identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 70 Sayı: 5
  • Basım Tarihi: 2006
  • Doi Numarası: 10.1016/j.ijporl.2005.09.011
  • Dergi Adı: International Journal of Pediatric Otorhinolaryngology
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.835-841
  • Anahtar Kelimeler: Adenoidectomy, Bleeding, Blood loss, Hemorrhage, Tonsillectomy
  • Uşak Üniversitesi Adresli: Evet

Özet

Objective: To calculate a mean red blood cell volume (RBCV) loss per kilogram (kg) in adenoidectomy, tonsillectomy, and adeno-tonsillectomy. Materials and Methods: Pre- and post-operative complete blood cell count, and pre-operative clotting studies of 144 patients were measured. Total blood volume (75 or 70 ml/kg), pre- and post-operative RBCV (hematocrit × total blood volume), RBCV loss, per kg RBCV loss and per cent RBCV loss were calculated. Results: There was significant differences between pre- and post-operative RBCV, Hb, and Htc values for tonsillectomy, adenoidectomy and A&T groups, respectively (p < 0.001 for all groups). We found a mean RBCV loss of 33 ml (5.56% of total RBCV) for adenoidectomy, 128 ml (10.63% of RBCV) for tonsillectomy and 60 ml (10.71% of RBCV) for A&T. RBCV loss per kg was 1.57 ± 1.29 for adenoidectomy, 2.96 ± 1.91 for adeno-tonsillectomy, and 3.02 ± 1.66 for tonsillectomy. Conclusion: According to us, for management of the patients, knowledge of a mean nature loss of RBCV per kg is important because bleeding seems to be unavoidable in the intra-operative or maybe post-operative period in these operations. © 2005 Elsevier Ireland Ltd. All rights reserved.