Rafiq Ahmad, Khurshid Anwar, Hayat Ur Rehman, Samiullah.
Day Case Tonsillectomy - is it safe? A comparison of day case tonsillectomy with in-patient tonsillectomy.
Pak J Med Health Sci Jan ;6(4):924-8.

Objective: To determine and compare the frequency of primary and secondary haemorrhage in day-case and in in-patient tonsillectomies. Methodology: This prospective study was conducted at the Department of ENT, Khalifa Gul Nawaz Teaching Hospital Bannu and District Headquarter Teaching Hospital, Bannu from July 1, 2010 to December 31, 2011. The study included 200 cases. A fitness criterion for day case tonsillectomy was formulated. Patients were divided into two groups; Day case tonsillectomy and Routine case tonsillectomy groups. Data regarding the primary and secondary hemorrhage in the two groups was collected. The results were analyzed using SPSS 16.0 for windows. Results: A total of 200 cases were included in the study. The mean age was 12.18 years with a standard deviation of +/- 7.131. The male to female ratio was calculated as 1.3:1. In all there were 115 males and 85 females. The DCT group comprised of 90 patients whereas the RCT group consisted of 110 patients. The frequency of Primary haemorrhage in the two groups was 1.1% and 2.7% respectively. The frequency of secondary haemorrhage in the two groups respectively was 1.1% and 1.8%. Statistical analysis showed that there was no significant difference (p>.05) with respect to the occurrence of primary and secondary haemorrhage in the two groups. Conclusion: Day case tonsillectomy is safe option in the carefully selected patients and the rate of complications is no more than in routine in-patient procedure.

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