Is there a justification for routine pre–operative deposit of blood for tonsillectomy/adenotonsillectomy?

Jones Ndubuisi Nwosu; Fidelis Anayo Onyekwulu; Babatunde Ishola Omotowo

Volume : VII, Issue : VI, June - 2017

Is there a justification for routine pre–operative deposit of blood for tonsillectomy/adenotonsillectomy?

Jones Ndubuisi Nwosu, Fidelis Anayo Onyekwulu, Babatunde Ishola Omotowo

Abstract :

Objectives To determine the frequency of intra or post operative blood transfusion in tonsillectomy and/or adenotonsillectomy; the reason(s) for blood transfusion, and thus justify or otherwise routine preoperative blood deposit for the surgeries. Methods The case notes of post tonsillectomy and/or adenotonsillectomy patients in the Hospital from January 2015 to June 2016 were reviewed to extract the required information. The biodata of the patients, state of preoperative preparation, intra and post operative events among others were documented. Data obtained were analyzed and presented in tabular and descriptive forms. Results There were 65 surgical cases; 8 tonsillectomy and 57 adenotonsillectomy studied. They comprised of 32 males and 23 females with a mean age of 6.4500±7.1056. The means of their parameters were: weight 22.23±16.93kg, Hb 11.975±1.318g/dl, operative blood loss 78.05±70.64ml and average duration of surgery 52.68±22.27 minutes. There was no intra or post operative blood transfusion recorded. Conclusions The patients studied were adequately prepared for surgery and there was no intra or post operative blood transfusion. Routine preoperative blood deposit was therefore not justified.