Abstract

Hemorrhage after tonsillectomy occurs most commonly till 10 days after surgery. Hemorrhage occurs when scabs begin sloughing off from the surgical sites. The risk of hemorrhage is approximately 1-2%. It is higher in adults, especially males and in 75% of the cases the hemorrhage occurs on the day of surgery. Dissection tonsillectomy was done in all the cases. Ropivacaine (0.75%) with Adrenaline (1:200000) was locally infiltrated on the right side (R-side) in the Peritonsillar region before the surgery and in the Tonsillar fossa after the surgery. The left side was considered as the control side. Intra-operative blood loss was estimated by weighing the swabs used before and after surgery (1gm=1ml) and adding it to the total volume of blood collected in respective suction bottles separately on both the sides 17(56.7%) females and 13(43.3%) males participated in the study. Majority of the cases belonged to <10 years of age group. Mean blood loss was 75.73ml on the Right side and 88.6ml on the left side (p value <0.0001). The peri-tonsillar infiltration of Ropivacaine (0.75%) with Adrenaline (1:200000) is effective and significant in reducing intra-operative bleeding during the surgery

Description