Complications of canine tonsillectomy by clamping technique combined with monopolar electrosurgery - a retrospective study of 39 cases - PubMed
- ️Sat Jan 01 2022
Complications of canine tonsillectomy by clamping technique combined with monopolar electrosurgery - a retrospective study of 39 cases
Outi Marita Turkki et al. BMC Vet Res. 2022.
Abstract
Background: Canine tonsillectomy is performed due to acute or chronic tonsillitis, neoplasia, trauma or occasionally brachycephalic obstructive airway syndrome. Several tonsillectomy techniques are used but information about surgical complications is scarce. This retrospective study of patient records at the University Animal Hospital aimed to investigate complications related to canine tonsillectomy performed by 20-min clamping combined with monopolar electrosurgery. Inclusion criteria were bilateral tonsillectomy performed with "20-min clamping technique combined with monopolar electrosurgery without suture or ligation". Exclusion criteria were unilateral tonsillectomy, tonsillar neoplasia, additional surgical procedures other than tonsillectomy, cases where sutures were used initially, and cases where unspecified or other methods of tonsillectomy were used. The search of the patient records of the University Animal Hospital included a 10-year period. Complications that required additional anaesthesia were defined as major complications. Minor complications were handled during surgery or after surgery without surgical intervention.
Results: Of 39 dogs that fulfilled the inclusion criteria, 11 dogs had complications and out of those 1 dog had two complications. Altogether, of the 12 complications, 2 were classified as major complications and 10 as minor. The most frequent complication was bleeding from the surgical site, in total 11 incidences; 10 dogs had an incidence of bleeding and out of those, 1 dog bled twice, both during and after surgery. Of these 10 dogs that bled, seven incidences of bleeding occurred during surgery and four incidences occurred after surgery. The two dogs with major complications were re-anaesthetized due to bleeding after surgery. No lethal complications occurred and all dogs survived to discharge.
Conclusions: Bleeding during and after surgery was a common complication in dogs after bilateral tonsillectomy using "20-min clamping technique combined with monopolar electrocautery". Revision intervention was often needed, sometimes urgently. Although no comparison was made with another technique, the studied technique should be used with caution.
Keywords: Canine tonsillectomy; Dog tonsillectomy; Tonsillar bleeding; Tonsillar haemorrhage; Tonsillectomy complication; Tonsillectomy technique.
© 2022. The Author(s).
Conflict of interest statement
The authors declare that they have no competing interests.
Similar articles
-
Dean PW. Dean PW. Probl Vet Med. 1991 Jun;3(2):298-303. Probl Vet Med. 1991. PMID: 1802256 Review.
-
Postoperative pain after adult tonsillectomy with PlasmaKnife compared to monopolar electrocautery.
Clenney T, Schroeder A, Bondy P, Zizak V, Mitchell A. Clenney T, et al. Laryngoscope. 2011 Jul;121(7):1416-21. doi: 10.1002/lary.21806. Epub 2011 Jun 6. Laryngoscope. 2011. PMID: 21647905 Clinical Trial.
-
Comparison of radiofrequency and monopolar electrocautery tonsillectomy.
Aksoy F, Ozturan O, Veyseller B, Yildirim YS, Demirhan H. Aksoy F, et al. J Laryngol Otol. 2010 Feb;124(2):180-4. doi: 10.1017/S0022215109991642. Epub 2009 Nov 30. J Laryngol Otol. 2010. PMID: 19943988 Clinical Trial.
-
Coblation versus other surgical techniques for tonsillectomy.
Pynnonen M, Brinkmeier JV, Thorne MC, Chong LY, Burton MJ. Pynnonen M, et al. Cochrane Database Syst Rev. 2017 Aug 22;8(8):CD004619. doi: 10.1002/14651858.CD004619.pub3. Cochrane Database Syst Rev. 2017. PMID: 28828761 Free PMC article. Review.
-
Electrosurgery for tonsillectomy.
Maddern BR. Maddern BR. Laryngoscope. 2002 Aug;112(8 Pt 2 Suppl 100):11-3. doi: 10.1002/lary.5541121405. Laryngoscope. 2002. PMID: 12172230 Review.
Cited by
-
Brachycephalic obstructive airway syndrome: much more than a surgical problem.
Mitze S, Barrs VR, Beatty JA, Hobi S, Bęczkowski PM. Mitze S, et al. Vet Q. 2022 Dec;42(1):213-223. doi: 10.1080/01652176.2022.2145621. Vet Q. 2022. PMID: 36342210 Free PMC article. Review.
References
-
- Anderson GM. Soft tissues of the oral cavity. In: Johnston SA, Tobias KM, editors. Veterinary surgery: small animal. 2. St. Louis: Elsevier Saunders; 2018. pp. 1650–1652.
-
- Todoroff RJ, Brodey RS. Oral and pharyngeal neoplasia in the dog: a retrospective survey of 361 cases. J Am Vet Med Assoc. 1979;175:567–71. Accessed 12 Nov 2017. http://www.ncbi.nlm.nih.gov/pubmed/511751. - PubMed
-
- Dulisch ML. The Tonsils. In: Slatter D, editor. Textbook of small animal surgery. 3. Philadelphia: Saunders; 2003. pp. 1079–1083.
-
- Radlinsky MG. Surgery of the digestive system. In: Welch Fossum T, editor. Small animal surgery. 4. St. Louis: Elsevier Inc.; 2013. pp. 395–396.
MeSH terms
LinkOut - more resources
Full Text Sources
Medical