In January, 1954, I published an article entitled "Bloodless Tonsillectomy: A New Operative Procedure."1 The technique of this new operation may be divided into four stages. First, the extrusion of the tonsil and the conversion of its wide attachment into a broad, thin pedicle by the use of a solid blade tonsillotome after the Sluder method; second, the passing of ligatures through the pedicle for later tying; third, the amputation of the tonsil and removal of the guillotine; fourth, tying of the previously inserted ligatures. There is no bleeding in the first stage except a little oozing, such as the use of a large instrument on a delicate mucous membrane is apt to cause. The only bleeding in the second stage is what is apt to come from needle punctures. There is no bleeding in the third stage at first after the guillotine is removed because the tissues have
UNGER M. Dissection, Snare, and Suture Jonsillectomy. AMA Arch Otolaryngol. 1955;61(6):645–647. doi:10.1001/archotol.1955.00720020663007
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