000			02833cam a2200349 a 4500
003			EG-GiCUC
005			20250223031348.0
008			151206s2015 ua dh f m 000 0 eng d
040			_aEG-GiCUC _beng _cEG-GiCUC
041	0		_aeng
049			_aDeposite
097			_aM.Sc
099			_aCai01.11.12.M.Sc.2015.Os.E
100	0		_aOsama Ahmed Elhoussainy
245	1	0	_aEffect of preoperative hemoglobin level on the occurrence of secondary post-tonsillectomy bleeding / _cOsama Ahmed Elhoussainy ; Supervised Hesham Mohamed Ahmed Negm , Ahmed Mohamed Atef Abd El-Gawad , Hesham Mohamed Nabil Lasheen
246	1	5	_aتأثير مستوي الهيموجلوبين قبل الجراحة علي حدوث نزيف ما بعد استئصال اللوزتين الثانوي
260			_aCairo : _bOsama Ahmed Elhoussainy , _c2015
300			_a80 P. : _bcharts , facsimiles ; _c25cm
502			_aThesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of E.N.T.
520			_aTonsillectomy is one of the commonest otolaryngological procedures performed .Multiple reports have demonstrated the safety of ambulatory (outpatient) pediatric Tonsillectomy, however Post-tonsillectomy hemorrhage remains the most serious complication of tonsillectomy. Review of literature suggests that preoperative anaemia is independently associated with an increased risk of postoperative morbidity. In this work, we analyzed different parameters including patient{u2019}s age, gender, type of surgery 2Tonsillectomy or Adenotonsillectomy3, technique 2Cold dissection or Bipolar3, evidence of tonsillar bed infection and pre-operative hemoglobin level in two groups of patients indicated for tonsillectomy. One group of 80 patients didn{u2019}t suffer from post-tonsillectomy bleeding as a control group; the other of 20 patients having secondary post-tonsillectomy bleeding. According to our statistical analysis and data, no significant difference between the two groups regarding the occurrence of secondary post-tonsillectomy in the following parameters: patient{u2019}s age, gender, type of surgery 2Tonsillectomy or Adenotonsillectomy3 and preoperative hemoglobin level.However there was higher incidence of secondary post tonsillectomy bleeding in patients operated by bipolar scissors. Also evidence of tonsillar bed infection raises the possibility of secondary post-tonsillectomy bleeding occurrence
530			_aIssued also as CD
653		4	_aComplications
653		4	_aHemoglobin
653		4	_aHemorrhage
700	0		_aAhmed Mohamed Atef Abdelgawad , _eSupervisor
700	0		_aHesham Mohamed Ahmed Negm , _eSupervisor
700	0		_aHesham Mohamed Nabil Lasheen , _eSupervisor
856			_uhttp://172.23.153.220/th.pdf
905			_aEnas _eCataloger
905			_aNazla _eRevisor
942			_2ddc _cTH
999			_c53768 _d53768