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With the substitution of complete tonsillectomy for the simpler but inadequate tonsillotomies of former years there must necessarily develop an increasing danger from postoperative hemorrhage. That the extirpation of the tonsil involves greater responsibility is generally recognized, and we are now concerned with the adoption of such methods as will minimize the risk from hemorrhage.
The ineffectiveness of the various styptics and the pain of prolonged pressure by tonsil hemostats are fully appreciated by all. There is, however, another expedient whose value has never been generally realized, but it is one whose reliability I have repeatedly demonstrated in persistent and profuse tonsillar hemorrhage after all other methods had been faithfully employed without avail. This consists simply in suturing firmly the tonsillar wound to a sufficient extent to close up all denuded bleeding areas. This may require from one to three sutures, according to the nature of the case, and the
McREYNOLDS JO. A NEW PHARYNGEAL NEEDLE HOLDER: DESIGNED ESPECIALLY FOR SUTURING THE TONSILLAR WOUND AFTER TONSILLECTOMY. JAMA. 1909;LIII(22):1821. doi:10.1001/jama.1909.92550220029002f
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