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November 4, 1911


JAMA. 1911;LVII(19):1533. doi:10.1001/jama.1911.04260110033015

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The free hemorrhage that occurs in tonsillectomy under general anesthesia suggests the routine use of mechanical hemostasis, as logically indicated to prevent needless loss of blood in all cases and to secure a nearly bloodless field while the second gland and the adenoid are excised.

The accompanying illustration shows a tonsil hemostat which I have devised and found most satisfactory in every respect after experimenting with several instruments already on the market. This contrivance is best used in pairs, though each instrument is applied on either side of the throat with equal facility. Several layers of gauze are attached to the bulbous extremity of the inner arm; the outside arm carries a disk for counter pressure. The spring ratchet makes adjustment easy for removal or for inserting the instrument, and when both hemostats are in place, excision of the adenoids is not interfered with because the arms are formed to

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