Adenotomy
How are the polyps operated?
The polyps - or tonsils - are peeled off through the mouth under a brief general anesthetic (adenotomy). Sometimes a ventilation tube has to be inserted at the same time. The success of the procedure is permanent for most patients. In some children, however, the polyps cause symptoms again after years because they can increase in size again despite surgery. Disadvantages of polyp removal are not known, so the procedure can also be performed on small children. Patients who are operated on by us should be older than 6 months
What are the risks?
As with almost every operation, there is a risk of bleeding, which cannot be completely ruled out even with careful hemostasis during the operation. Significant bleeding that requires surgical hemostasis is very rare. At less than 1%, for example, the risk is considerably lower than that of removing tonsils. Bleeding can occur a few days after the procedure.
Blood drawing before the operation? Our opinion on the blood draw!
We comply with the joint declaration of the specialist societies of paediatricians, anesthetists and ENT doctors as well as the Pediatric Commission of the Society for Hemostasis Research, according to which a blood sample can be dispensed with before an almond and polyp operation if the medical history is normal. However, if there are abnormalities in the patient or relatives, a blood test in a special laboratory is required.
When you have decided to have an operation
On the day of the operation, you should present yourself punctually with your child at our practice registration as agreed. Your child should have fasted the night before, but can drink water up to an hour before the procedure. You will then meet with the anesthetist Dr. Talk about the anesthesia.
You accompany your child to the operating area and are with him during the induction of anesthesia. If your child falls asleep, please leave the operating area and stay in the waiting room.
You will be back with your child immediately after the operation. Blood stains may appear on clothing when you wake up. You should keep this in mind when choosing clothes for you and your child.
Some children are restless and cry when they wake up. Of course, you can calm your child down by hugging them.
Already in the recovery room something to drink can be given in sips, and later something to eat as well. Please ask our employees for permission beforehand.
The monitoring time is usually up to two hours.
As a side effect of anesthesia and surgery, vomiting of dark blood may occur, often at home. In the afternoon there should be no more blood vomiting worth mentioning. If you have fresh bleeding from your mouth or nose, call us immediately. Vomex suppositories, for example, which you can get over the counter at the pharmacy, help against nausea. Hot baths and excessive exertion should be avoided for 2 days to prevent bleeding. After 3 days the risk of bleeding is only low. If in doubt, please call us at any time.
