The Relevance of Routine Haemostasis Testing in Children Prior to Adenoidectomy and/or Tonsillectomy
2009
Abstract
Adenoidectomy and tonsillectomy are two of the most frequent surgeries in children. In the most of Czech hospitals, screening tests to reveal possible impaired heamostasis and thus bleeding complications are routinely performed before such a surgery.
The benefit of this screening has been however questioned in many studies worldwide. We believe that thorough and careful personal and family history of bleeding tendency/disorder taken with the help of standardized questionnaire is more suitable tool for screening.
The indication for laboratory haemostasis testing should be positive personal or family history of a bleeding tendency and/or an absence of a valid history at all.