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Original Articles
February 1962

Hemostasis in Tonsillectomy by Electrocautery

Arch Otolaryngol. 1962;75(2):125-126. doi:10.1001/archotol.1962.00740040131009
Abstract

Until recently electrocautery of the bleeding points during and following tonsillectomy under general inhalation anesthesia was impossible due to the explosive mixtures used.

A search of the literature produced numerous articles concerning electrocoagulation removal of tonsils under local anesthesia but none concerning cold excision of tonsils with electrocoagulation of the vessels.

This article presents the first 100 cases which we have performed using nitrous oxide and halothane (Fluothane) for insufflation anesthesia. The anesthesia aspects of these cases are dealt with more extensively in a forthcoming article to be published by Drs. Michael La Porta and Walter Evans. The ages of the patients ranged from 2 years to adulthood. Preoperative work-up consisted of history, physical examination, red blood cell count, hemoglobin, hematocrit, white blood cell count, differential, bleeding time, clotting time, urinalysis, and any other special examinations indicated.

Procedure  The Rose position was used in conjunction with the Crowe-Davis mouth gag.

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