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  • Title: Guillotine tonsillectomy: a neglected technique.
    Author: Sunkaraneni VS, Ismail-Koch H, Salib RJ, Jain PK.
    Journal: J Laryngol Otol; 2009 Aug; 123(8):907-9. PubMed ID: 19275778.
    Abstract:
    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.
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