Guillotine tonsillectomy: a neglected technique.
| Autor: | Sunkaraneni VS; Department of Otolaryngology, the Queen Alexandra Hospital, Cosham, UK., Ismail-Koch H, Salib RJ, Jain PK |
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| Jazyk: | angličtina |
| Zdroj: | The Journal of laryngology and otology [J Laryngol Otol] 2009 Aug; Vol. 123 (8), pp. 907-9. Date of Electronic Publication: 2009 Mar 11. |
| DOI: | 10.1017/S002221510900485X |
| Abstrakt: | Background: Increased post-operative tonsillectomy haemorrhage rates have been observed following 'hot' tonsillectomy techniques, compared with 'cold steel' dissection. Post-tonsillectomy haemorrhage rates and the degree of blood loss during guillotine tonsillectomy have not been reported in the recent literature. Methods: This retrospective case note review assessed the degree of blood loss during guillotine tonsillectomy, as measured by the number of tonsil swabs used, and the post-tonsillectomy haemorrhage rate. Results: In a group of 168 patients, no tonsil swabs were used in 13.1 per cent of cases, and less than two tonsil swabs were used in 41.1 per cent of cases. Conclusion: Guillotine tonsillectomy, when performed by the method described in this article, resulted in minimal intra-operative blood loss in 54 per cent of cases, and appeared to have comparable post-tonsillectomy haemorrhage rates to cold steel dissection techniques. |
| Databáze: | MEDLINE |
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