Laser and radio wave tonsilectomy: indications, postoperative period, diet, recovery, consequences. After tonsilectomy: bleeding, complications, how much throat hurts, the temperature lasts?

Tonsillectomy - operation to remove the tonsils. It can be carried out under local or general anesthesia, however, it has a number of contraindications and is dangerous to the probability of complications.

Despite the fact that the tonsils carry a protective function for the whole organism, their hypertrophy can cause a lot of harm, ranging from sore throats and chronic tonsillitis, ending with damage to the heart, kidneys and joints.

In cases where conservative treatment is powerless, an otorhinolaryngologist is recommended to perform tonsillectomy - the complete removal of the glands.

Laser and radio wave tonsillectomy: Indications

Radio wave tonsillectomy - Operation to remove tonsils with a laser. This is modern, highly effective, bloodless and the least traumatic of the known method.

It provides quick postoperative healing without the formation of rude scars.

Despite the fact that tonsillectomy is a simple operation, there should be serious medical indications. These include:

• frequent exacerbations of chronic tonsillitis
• sore throats
• strong paratonsillar abscesses
• tonsilled rhinitis
• sinusites
• pharyngitis
• cervical lymphoadenites
• tracheobronhits
• the presence of an infectious and allergic focus in the tonsils
• renal diseases of a tonsilled nature
• endocrine disorders caused by the effects of chronic tonsillitis
• some skin diseases (eczema, urticaria, psoriasis, streptoderma)
• difficult swallowing
• apnea
• snore
• violation of the background
• deterioration (decrease) hearing

However, there is A number of contraindicationswhich also cannot be forgotten.

Video: Removing palatine tonsils. We treat correctly with Vladimir Zaitsev

Absolute contraindications:

• anemia
• leukemia
• hemophilia
• agranulocytosis
• scurvy

Relative contraindications:

• SARS and period of rehabilitation after illness (1 - 1.5 months)
• anemia
• menstruation
• caries of teeth
• dermatitis in the stage of exacerbation
• 1 and 3 trimester pregnancy
• acute tonsillitis (first 14 days of illness)
• vascular peritonsillar abnormalities
• the patient's age is younger than 2 - 2.5 years
• flu and polio epidemics

The decision on the operation is made by an otorhinolaryngologist along with a therapist or a pediatrician if the tonsillectomy is necessary for the child, after examining the patient and evaluating his condition. Before the operation, the patient without fail undergoes the appointed examinations and takes tests.

Important: not observing indications and contraindications for tonsillectomy can cause further constant diseases of the patient in the patient, as well as the development of a neurotic syndrome in him.

Tonsillectomy bilateral: the course of the operation

Tonsillectomy can be performed both under local and general anesthesia. For adult patients who can calmly transfer surgical manipulations to remove the tonsils, the first option is recommended. Children and impressionable adults are performed under general anesthesia.

Anesthesia is administered under the mucous membrane of the front and rear palatine arches. After the introduction of anesthetic, a 2-3-minute pause is made. At this time, the doctor explains to the patient how to behave during the operation.

Then they start the operation itself: they dissect the mucous membrane, capture the tonsil with gear forceps or a curved clamp and exfoliate it. For this, short vertical and then longer envelope movements are performed in the context.

Important: a reliable strong seizure of tonsils is necessarily carried out with the capsule. If the capsule exfoliates heavily, the jerks formed by the scar fabric are superimposed with scissors.

If the operating field is filled with blood, the surgeon performs a tamponing of the hip area using gauze napkins and proceeds to the detachment of the second gland. After a partial elimination of the second tonsil, the doctor tampons it and returns to the first tonsil. This technique allows manipulations with visual control of the operated area.

IMPORTANT: the overlay of the loops is carried out at the moment when half of the tonsil is exfused, but at the same time it still does not hang in the throat.

The tonsils are cut off when it remains on a thin jumper and is already hanging in the throat, with the help of a loop or, if the vessels are too small, without it.

Important: during detachment and immediately before the cut -off itself, additional anesthesia is sometimes administered.

Tonsillectomy and postoperative period

The postoperative period provides for bed rest and supervision of a doctor. Particular attention should be paid to the pharyngeal wound. Unacceptable drainage of a significant amount of blood from it to the stomach.
For anesthesia, the patient is prescribed analgin or ibuprofen.

Important: since immediately after the surgery, swallowing solid food is difficult and can provoke bleeding, you should limit yourself to small portions of fermented milk products and bananas grated in mashed potatoes.

A week after the operation, all functions of the body are completely restored. Usually by this time (or even somewhat earlier) the patient was discharged from the hospital.

Bleeding after tonsillectomy

After removing the tonsils may occur early and late bleeding. Early bleeding They happen if the operating surgeon has not sutured or sutured not enough tonsils.

Late bleeding They occur after the initial healing of the area of \u200b\u200bsurgery (usually between 5 and 8 days), lasts an average of 3-5 minutes, and then stops independently. Usually these bleeding are formal and do not cause concern. However, any later bleeding after tonsillectomy requires immediate seeing a doctor.

If, with bleeding, blood enters the stomach, vomiting occurs, and then vomiting with a lot of blood.

Important: the danger of significant early and late postoperative bleeding lies in a large loss of blood and the likelihood of asphysis during sleep due to paralysis of the respiratory center.

Signs of significant blood loss after tonsillectomy:

• unnatural pallor of the skin
• sluggish apathetic condition
• cold sweat appears on the skin
• the pressure decreases
• a weak threaded pulse
• intermittent frequent breathing
• the heart is bad
• a strong feeling of thirst
• loss of consciousness
• involuntary urination and deification

Important: despite the probability of independent cessation of severe bleeding, its itself can lead to shock and, in the absence of proper urgent medical care, to the death of the patient.

First aid for bleeding after tonsilectomy They are provided in intensive care by transfusing blood and (or) hem -length fluid.

If bleeding does not stop, the patient is administered hemoostal preparations and vitamins.

Complications after tonsilectomy

In addition to bleeding, after tonsilectomy, other complications, such as:

• postoperative tonsillitis, pharyngitis
• inflammation of the pharynx and sky
• throat abscess due to infection or injury to the pharynx in
• operation time
• diphtheria
• purulent otitis media
• bronchopneumonia
• plombosis of the pharyngeal venous plexus
• acetonemia
• agranulocytosis
• hyperthermic syndrome
• non -adalar transient diabetes
• sharp edema of the larynx
• saliva fountain due to injury to the submandibular gland
• the appearance of gross scars
• difficult swallowing
• pain in the throat

IMPORTANT: the listed complications are observed quite rarely and expressly arise due to non -compliance with preparation for surgery or postoperative regime. Complications can also provoke ARVI disease, flu, pneumonia, bronchitis.

How much throat hurts after tonsillectomy?

The duration and intensity of sore throat after tonsillectomy is affected by several factors:

1. The method of conducting the operation. After removing the tonsils with a scalpel, loop or scissors, the pain can last 1 - 2 weeks. After cryodestruction and laser vaporization, pain in the throat occurs during 1 - 3 days.
2. Features after surgery. If after the operation the patient does not comply with the doctor’s recommendations and eats hot, spicy, salted and hard foods, the throat will heal longer. To reduce the healing time of the wound and reduce the period of the appearance of pain will help the use of semi -liquid dull, non -resistant warm foods will help.

How much does the temperature last after tonsilctomy?

After the operation, most patients rises the temperature 37 - 37.8 ° C. And holds around 3 - 10 days.

Doctors recommend taking ibuprofen (Nurofen) to relieve pain and normalize body temperature. However, if the temperature above 38 ° C. or lasts more than 10 days, you need to consult a doctor to find out the causes and additional examinations.

The consequences of tonsillectomy

In addition to a positive effect, improved health, stop snoring and breathing stops in a dream, relief breathing and swallowing, after tonsillectomy, a deterioration in the patient’s well -being is also possible.

Important: an operation to remove palatine tonsils to singers, speakers (teachers, lecturers), workers engaged in harmful dusty production is not recommended.

Some patients with remote tonsils complain about dry mouth, sore throat and recurrent pharyngitiss. However, most of the tonsillectomy that have undergone notes that after the surgery, the disease has finally retreated and the quality of life has improved markedly.

So that after the operation to remove the palatine tonsils, there are no negative consequences, the doctor needs to very seriously approach the decision on its conduct. In cases where tonsilectomy can be replaced with partial removal of tonsils, it is better to carry out this particular procedure.

Important: it is proved that tonsilectomy does not affect the state of general immunity, and the benefits of the operation significantly exceeds the risk of possible complications.

Power after tonsilectomy: diet

Before performing tonsillectomy, doctors often recommend refraining from eating on the first day after surgery, explaining this as a probability of pain and bleeding. The development of the throat and the restoration of its functions begin with the use of non -carbonated water in small portions.

Important: ordinary food at first is prohibited, since in addition to irritation by its throat, the body after anesthesia will not be able to digest the incoming food and try to get rid of it through vomiting.

If you refuse to eat food, it is allowed on the first day after the operation to eat chilled sour -milk products and ice cream.

Such snacks will only benefit, because the cold narrows damaged blood vessels, reducing pain, and milk saturates the body.

A few days after the operation, it is allowed to eat unsolved chicken broth.

Important: the first portions of food should be very small. You can slightly increase them the next day.

In the first week after the operation, any food consumed should be cold and maximum chopped. Patients are allowed to return to your usual diet after the full healing of the wounds.

Restoration after tonsillectomy - rehabilitation

Recovery after tonsillectomy lasts about 14 days. At this time, it may be noted difficult nasal breathing, throat pain, swelling of the nasopharynx.

To prevent the formation of scars, in the first 2 weeks after surgery, it is necessary to use local hormonal drugs.

Light nasal breathing They will help vasoconstrictor drops, anesthetize - ibuprofen or analgin, a remove swelling is an antihistamine.

Is angina possible after tonsillectomy?

Angina without glands is possible. However, at the same time, not palatine tonsils fall under the blow, but the lymph formations of the winding ring. The situation is somewhat facilitated by the absence of large foci of infection, but the treatment of sore throat will also have to be carried out using antibacterial drugs under the supervision of a doctor.

Tonsillectomy under general anesthesia reviews

Tatyana, 32 years old: The adenoids and tonsils were removed simultaneously to his son (4.5 years) under general anesthesia. The operation was successful, there were no serious complications. From the operating son was brought to the ward still sleeping. Gradually he came to his senses, but until the evening he was sleepy and moody. He pulled out with blood several times, but the doctor said that this was normal, since during the operation a small part of the blood fell into the stomach. When my son complained about the pain in the throat, I gave him Syrup Nurofen. A few days later we were released home. My boy quickly got better and returned to ordinary life. We are very pleased that we took a chance and agreed to an operation that changed my son’s life. More than a year has passed since the day of removal of the tonsils, and since then he has never missed the kindergarten due to illness.

Olga, 42 years old: After she removed the tonsils, my life turned into hell: there were constant headaches, an inflamed throat, incomprehensible temperature surges. I am very sorry that I went to it.

Anton, 27 years old: I was not satisfied with the operation. The doctor inaccurately completed his work, cut out a small tongue. There were terrible scars in the place of the glands. I hoped that they would resolve, but they were only compacted.

Although tonsillectomy is a simple common operation that should not be afraid, this is still an extreme measure. Before cutting the tonsils, you should try to compete for your health. To do this, you should treat throat diseases in time, using not only sprays and tablets, but also rinsing with decoctions of healing herbs, processing inflamed tonsils with antiseptic solutions and physiotherapy.

Video: Tonsillectomy. Types of surgery. We treat correctly with Vladimir Zaitsev