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Doctors say that patients who undergo an operation that removes excess tissue from the throat along with a surgical tonsil-removing procedure have an increased level of bleeding if they are smokers. But people who smoke do not have an increased level of bleeding if they undergo tonsillectomy alone.
Tonsillectomy is a common operation that bears a substantial risk of complications. Over the years, indications for the surgical procedure have changed, but there is still a great risk of post-operative bleeding.
Sean M. Demars, M.D. and colleagues studied 1,010 tonsillectomy patients and levels of post-operative bleeding from 2000 to 2005. The researchers also gathered data on sex, age and smoking status.
About 6.7% of patients presented bleeding and smokers had this rate of 10.2% compared to a 5.4% rate experienced by non-smokers. The researchers state that the large difference was found “to be attributable to a marked increase in post-operative hemorrhage in the patients who underwent UPPP (10.9 percent in smokers vs. 3.3 percent in non-smokers). Men who underwent tonsillectomy alone bled significantly more than women (11.2 percent and 5.4 percent, respectively).”
The authors state that being aware of the link between post-operative bleeding and smokers, “May help clinicians further counsel their patients before surgery.” They conclude: “Further investigation of this relationship is needed, with stratification of patients by the number of cigarettes smoked and attention to the length of time before and/or after surgery that patients refrain from smoking.”
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