Introduction: Tonsillectomy is one of the most common surgeries in the world and the most common problem is post-tonsillectomy pain and bleeding. The relief of postoperative pain helps increase early food intake and prevent secondary dehydration. One method for relieving pain is peritonsillar injection of epinephrine along with an anesthetic, which has been shown to produce variable results in ...

HYPOTHESIS Laparoscopic diverting ileostomy should help define whether a severe, obscure gastrointestinal hemorrhage is in the upper or lower gastrointestinal tract in preparation for subtotal resection without increasing risk of patient morbidity and mortality. DESIGN Case reports. SETTING University hospital. PATIENTS Patient 1 is an 83-year-old woman. Patient 2 is a 75-year-old woman. ...

Recurrent laryngeal nerve injury, hypocalcemia and bleeding are the most common severe complications in thyroid surgery. However, growing use of energy devices, hemostatic agents optical magnification techniques allows for a significant reduction such complications, while also improving quality intra- postoperative course reducing surgical times.

Case reports Case I-A 60 year old woman had a laparotomy for severe abdominal pain and shock, at which 2 litres of blood was drained from the peritoneal cavity. The liver was cirrhotic with an extensive nodular tumour encasing the porta hepatis. The tumour had ruptured with brisk bleeding from a 3 cm crater. Absolute alcohol (20 ml) was injected directly into the crater. The area blanched immed...

BACKGROUND Major adverse cardiac events (MACEs) are a common cause of death after non-cardiac surgery. Despite evidence for the benefit of aspirin for secondary prevention, it is often discontinued in the perioperative period due to the risk of bleeding. METHODS We conducted a randomized, double-blind, placebo-controlled trial in order to compare the effect of low-dose aspirin with that of pl...

UNLABELLED BACKGROUND Enhanced bleeding remains a serious problem after cardiac surgery, and fibrinolysis is often involved. We speculate that lower plasma concentrations of plasminogen activator inhibitor - 1 (PAI-1) preoperatively and tissue plasminogen activator/PAI-1 (t-PA/PAI-1) complex postoperatively might predispose for enhanced fibrinolysis and increased postoperative bleeding. ME...

We read with great interest the recently published multicentre cohort study by Kremke et al. [1]. Patients exposed to antiplatelet therapy (APT) at the time of coronary artery surgery (CAS) had greater postoperative bleeding volumes and greater transfusion requirements [1]. Exposure to clopidogrel, but not aspirin, was associated with greater reoperation rates and was an independent risk factor...

BACKGROUND Postoperative bleeding after cardiac reoperations is among the most complicating problems, both for the physicians and for the patients. Many modalities have been used to decrease its adverse effects and the need for blood products administration. OBJECTIVES In a randomized double-blinded clinical trial of redo cardiac valve surgery in adult, the effect of active recombinant factor...

OBJECTIVES To report our centre's experience of outpatient tonsillectomy in children over a 7-year period and to evaluate the postoperative complication rate in this type of procedure compared to tonsillectomy performed in the context of conventional hospitalisation. MATERIAL AND METHODS Retrospective review of medical charts. RESULTS From May 2002 to April 2009, 276 tonsillectomies were pe...

OBJECTIVES An assessment of the effects of ginger on pain, nausea, vomiting, bleeding, and wound site healing that occur after tonsillectomy. METHODS This prospective clinical study was participated by 49 patients aged 18-45 years out of 56 patients that underwent tonsillectomy and regularly attended follow-up visits. The patients were randomly divided into two groups. Group 1 consisted of 23...