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To the Editor:—
In residency I noted that, in the tonsillectomy cases in which a stitch or two was required, there was very little postoperative bleeding; on the other hand, in 4 to 8% of the clean-cut cases in which there was no immediate need for sutures, bleeding would start four to eight days postoperatively. Thus, in my private practice I have used the following technique and find my incidence of hemorrhages occurring postoperatively is less than 1%, and these are only minor when they do occur.After the usual preoperative preparation and examination, the following surgical procedure is carried out: I use only the dissection and snare method in tonsillectomy. After removing the tonsils cleanly and completely, each fossa is inspected and any active bleeder is sutured and tied immediately. I use the Davis and Geek 1614-0 tonsil suture with a swedged on 1/2 curved needle; the needle is
Hartzell MK. BLEEDING AFTER TONSILLECTOMY. JAMA. 1957;163(5):384. doi:10.1001/jama.1957.02970400056022
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