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The control of bleeding which occurs during the surgical removal of tonsils is unquestionably an important part of the operation. The routine procedure consists in applying pressure to the tonsillar fossa by means of gauze sponges. In a large per cent of cases this suffices to control hemorrhage. The length of time over which pressure is to be applied is usually not less than three minutes but often considerably more. Unfortunately, even though cessation of bleeding may have been achieved, it is a matter of chance whether bleeding may occur again soon after operation or during early convalescence, if pressure alone is used. A child, especially, may lose considerable blood before the fact that he is bleeding is dicovered.
Aside from pressure, the method most frequently used to control tonsillar hemorrhage is clamping of the bleeding points or the application of a catgut ligature around them. The application of a
VISTREICH F. EASY LIGATION OF BLOOD VESSELS IN CONNECTION WITH TONSILLECTOMY: A New Instrument and Method. Arch Otolaryngol. 1940;31(4):684–686. doi:10.1001/archotol.1940.00660010689012
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