Key points
- Tonsillectomies are one of the commonest ENT procedures performed in
the UK.
- Previous research suggests a possible correlation between surgical
technique and the incidence of post-operative haemorrhage; however,
these have not explored approaches to checking haemostasis.
- Our study shows that a multi-step approach to checking haemostasis,
which includes both the Valsalva manoeuvre and Trendelenburg position
can significantly reduce the incidence of post-operative haemorrhage.
- A second benefit to our multi-step approach is a reduction in the
number of post-tonsillectomy bleeds that require a return to theatre
for surgical exploration and intervention.
- Further studies which extend to regional centres should be conducted
for comparison following incorporation of our proposed change in
practice for intra-operative haemostasis checks.