The following ambulatory surgery is performed in the ambulatory surgery department:
- Ear-nose-throat surgery
- Gynecologic surgery
- Gastroscopy and colonoscopy under anesthesia
Tonsil removal surgery (tonsillectomy) patient information
Palatine tonsils are pair of organs located between the palatoglossal and palatopharyngeal arches. Palatine tonsils consist of immune cells that fight infection.
Inflammation of the palatine tonsils, or tonsillitis, can be caused by bacteria that spreads through the air and enter the lining of the pharynx when inhaled, initially causing acute tonsillitis, which can later become chronic.
Symptoms of chronic tonsillitis:
- bad taste and smell in the mouth
- persistent or episodic sore throat
- enlargement of the lymph nodes in the neck
- general fatigue and loss of appetite due to chronic tonsillitis
- exacerbation of tonsillitis (high fever and severe pain when swallowing) occurs more than 2-3 times a year
When is surgery necessary?
Tonsil removal surgery is recommended if tonsillitis has become chronic. The surgery lasts for 30 to 40 minutes and is performed under general anaesthesia.
Before the surgery:
- The necessary blood tests are performed 1 to 2 weeks before the operation.
After the surgery:
- After the surgery, the patient remains in the outpatient surgery department for observation for up to 8 hours, if necessary.
- Fatigue, nausea, headache, drowsiness and muscle soreness may occur after anaesthesia.
- Immediately after surgery, bleeding may occur and salivation increases – blood and saliva flowing into the mouth should be spit out, not swallowed.
- Immediately after surgery, we recommend that you do not cough, talk, eat, drink or rinse your throat to reduce bleeding.
- A slight increase in body temperature is normal after surgery. If the temperature rises above 38 °C, contact us on 1500, where you will receive initial advice and, if necessary, be referred to a physician.
- Foods and beverages that are sour or very sweet, salads with lots of vinegar, foods that require strong chewing – bread, rusks and carbonated drinks should not be consumed during the first week after surgery. These foods increase the risk of bleeding.
- Smoking prevents healing!
- Postoperative pain usually occurs for up to 2 weeks. Use paracetamol as a painkiller (preferably as a soluble tablet, syrup or suppositories in children). Avoid taking non-steroidal anti- inflammatory drugs (aspirin, ibuprofen, diclofenac) as they promote bleeding.
- The wounds will appear whitish in the beginning; later, yellowish scabs form on the tonsillectomy wounds after the surgery, which can temporarily cause bad breath. The scabs detach spontaneously, usually on the 10th to 14th day after surgery.
- In the days following the surgery, move and talk according to how you feel, the risk of bleeding from the wound lasts for two weeks and may be increased by physical exertion.
Please note! There risk of bleeding exists for two weeks after the surgery until the scabs have detached. Bleeding usually stops when ice cubes are kept in the mouth and a cold wrap is placed around the neck and nape. If the bleeding does not stop within 10 to 15 minutes, you must call an ambulance to take you to the emergency department. If the bleeding occurs in a child, call an ambulance immediately.
Reminder for people coming in for an operation
- Your overall health condition must be assessed before you come in for an operation. You will be provided with a questionnaire to fill in with details of your health status, past and present illnesses and daily medications, hypersensitivity to medicinal products, previous operations and habits (smoking, alcohol consumption, etc). Blood samples are taken and any examinations and tests prescribed by the surgeon or anaesthesiologist are performed before the operation.
- Be sure to inform your doctor if you are taking anticoagulant medicinal products (e.g. aspirin, Marevan, Eliquis, Xarelto, Pradaxa, Lixiana) so that you can make timely arrangements for stopping the use thereof before surgery.
- The exact time of admission to the hospital will be specified by telephone no later than the afternoon of the day before the surgery. In most cases, patients are admitted in the morning.
- Do not drink dairy products and pulp juices, eat, chew gum or smoke 6 hours before the operation.
- It is also not permitted to drink water 4 hours before the operation. If you eat or drink before the operation, the operation must be postponed or cancelled for the sake of your health.
- Opt for a shower in the morning and refrain from swallowing any water as you brush your teeth.
- Take the medication(s) prescribed by the anaesthesiologist or doctor early in the morning with 2-3 sips of water.
- On the day of the surgery, you should not be suffering from a cold (runny nose, cough, fever) and you should preferably not be menstruating or suffering f. from acute skin infections. If necessary, please consult your treating physician and reschedule the surgery.
- When coming for a day-time surgical procedure, please come to Veerenni 51 at the agreed time. The ambulatory surgery department is located on the 8th floor, to the right as you step out of the lift. You will be welcomed by a receptionist who will register you with the department and refer you to the operation.
- Please note! Due to impaired reactions, you are not allowed to drive a car or operate machinery for 24 hours after anaesthesia (even short-term). To get home safely, ask someone to accompany you and, if possible, arrange transportation.
- If you are unable to come to the hospital at the agreed time, please inform us by calling +372 6299 277
- Bring with you to the hospital:an ID (passport, ID card or driving licence), a filled in anaesthesia leaflet if you were given such a leaflet during an appointment. Medicinal products taken regularly and any aids, if needed