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Karpishchenko S.A.

Kafedra otorinolaringologii s klinikoĭ

Kolesnikova O.M.

Department of Otorhinolaryngology, I.P. Pavlov Saint-Petersburg First State Medical University, Russian Ministry of Health, Saint-Petersburg, Russia, 197022

Legkova Yu.V.

Pavlov First Saint Petersburg State Medical University, St. Petersburg, Russia, 197022

Conducting bilateral tonsillectomy in patients after kidney transplantation. Clinical observation

Authors:

Karpishchenko S.A., Kolesnikova O.M., Legkova Yu.V.

More about the authors

Journal: Russian Bulletin of Otorhinolaryngology. 2020;85(3): 83‑87

DOI: 10.17116/otorino20208503183

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To cite this article:

Karpishchenko SA, Kolesnikova OM, Legkova YuV. Conducting bilateral tonsillectomy in patients after kidney transplantation. Clinical observation. Russian Bulletin of Otorhinolaryngology. 2020;85(3):83‑87. (In Russ.)
https://doi.org/10.17116/otorino20208503183

Подписка 2025 (Russian Bulletin of Otorhinolaryngology)
 
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The experience of performing bilateral tonsillectomy under general anesthesia for two patients with a transplanted kidney receiving immunosuppressive therapy is presented. In both patients after surgery, pain and inflammatory changes in the postsurgery wound were minimal. However, in the postsurgery period, infection was observed in patients, this required the prescription of systemic antibacterial drugs. On the background of immunosuppressive therapy, the clinical course of chronic tonsillitis proceeded without severe symptoms, despite the decompensation of the chronic process in the tonsils. Due to severe concomitant renal pathology and with a transplanted kidney, such patients need to be examined and treated in a multidisciplinary hospital. Indications for surgical treatment of these patients should be substantiated together with nephrologists, otolaryngologists and anesthetists.

Keywords:

chronic tonsillitis
tonsillectomy
kidney transplantation

Authors:

Karpishchenko S.A.

Kafedra otorinolaringologii s klinikoĭ

Kolesnikova O.M.

Department of Otorhinolaryngology, I.P. Pavlov Saint-Petersburg First State Medical University, Russian Ministry of Health, Saint-Petersburg, Russia, 197022

Legkova Yu.V.

Pavlov First Saint Petersburg State Medical University, St. Petersburg, Russia, 197022

List of references:

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  2. Krishna P, Lee D. Post-tonsillectomy bleeding: a meta-analysis. Laryngoscope. 2001;111(8):1358-1361. https://doi.org/10.1097/00005537-200108000-00008
  3. Mangaberia-Albernaz P. The problem of hemorrhages following tonsillectomy. Arch Otolaryngol. 1956;64(6):466-477. https://doi.org/10.1001/archotol.1956.03830180016004
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  6. Posobilo EE, Ryabova MA. Method of laser tonsillectomy. Folia Otorhinolaryngologiae et Pathologiae Respiratoriae. 2018;24(3):79-86. (In Russ.)
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  8. Briganti EM, Russ GR, McNeil JJ, Atkins RC, Chadban SJ. Risk of renal allograft loss from recurrent glomerulonephritis. N Engl J Med. 2007;347(2):103-109. https://doi.org/10.1056/nejmoa013036
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  10. Kuznetsova TS, Pashchenko IG. IgA nephropathy. Ulyanovsk Medical and Biological Journal. 2017;3:8-18. (In Russ.) https://doi.org/10.23648/UMBJ.2017.27.7071
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  12. Karpishchenko SA, Kolesnikova OM, Legkova YuV. Effect of bilateral tonsillectomy on the course of IgA-nephropathy. Practical Medicine. 2018;16(5):72-75. (In Russ.) https://doi.org/10.32000/2072-1757-2018-16-5-72-75
  13. Kawamura T, Yoshimura M, Miyazaki Y, Okamoto H, Kimura K, Hirano K, et al. A multicenter randomized controlled trial of tonsillectomy combined with steroid pulse therapy in patients with immunoglobulin A nephropathy. Nephrol Dial Transplant. 2014;29(8):1546-1553. https://doi.org/10.1093/ndt/gfu020
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