ABSTRACT
Occurrence of post tonsillectomy hemorrhage in pediatric age group. This study was conducted at ENT department Jinnah Post Graduate Medical Center Karachi and Kulsoom Bai Valika Social Security Hospital between Nov 2007 and Nov. 2009. Prospective study. Five hundred patients of pediatric age group were included who had undergone tonsillectomy. Patients included having recurrent episodes of tonsillitis required medical treatment. These episodes occurred 4-5 times in two years or 2-3 episodes in a year. Exclusion criteria included children less than 3 year or older than 14 year, history of acute tonsillitis within six weeks, sign of recent upper respiratory tract infection. The tonsils were removed by dissection and diathermy method. Hemostasis secured by ligature and electrocautery technique. Patients observe for post tonsillectomy haemorrhage in ward and follow up after discharge on 6, 12 and 15th day. 44.4% of patients were male and 55.6% were female and mean age presentation is 8.7 years. The overall incidence of post-operative hemorrhage is 4%, of these 15% were primary hemorrhage and secondary hemorrhage is 85%. The incidence of secondary hemorrhage was 3.4%. The 76% of secondary hemorrhage was managed by conservative management and 23.5% patient need surgical intervention and one patient required blood transfusion