[For prevention of complications, especially postoperative bleeding, in tonsillectomy and adenoidectomy (author's transl)].

Hemorrhages after tonsillectomy and adenoidectomy are the most frequent lethal complications except of the mortality due to incidents of anaesthesia. A precise clinical, personal and family history regarding bleeding disorders must be taken. We preoperatively perform laboratory tests on each patient (Platelet count, PTT, Quick, Thrombintest, Fibrinogen, Bleeding Time) to detect possible bleeding disorders. Furthermore, we ask for previous medications, such as analgetics, sedatives and antiarthritics. A careful surgical technique for removal of tonsils and adenoids and meticulous hemostasis reduce the danger of postoperative bleeding. An exact control after the operation helps prevent serious complications.