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A study of haemostasis following tonsillectomy comparing ligatures with diathermy

  • M. G. Watson (a1), P. J. D. Dawes (a2), P. R. Samuel (a2), H. F. Marshall (a1), C. Rayappa (a2), J. Hill (a2), D. Meikle (a1), G. E. Murty (a1), J. A. J. Deans (a2), G. Telios (a1), C. Aldren (a1), J. P. Birchall (a1), A. J. N. Pritchard (a1), J. Livesey (a1) and D. Appleton (a3)...

Abstarct

The use of diathermy to achieve haemostasis after tonsillectomy remains controversial. We have reviewed the English language literature, and found no convincing evidence that diathermy is any more likely to cause post-operative haemorrhage than the use of ligatures. The results of a prospective, randomized study of 1036 consecutive tonsillectomies are presented. No significant difference was found in post-operative haemorrhage rates when either diathermy or ligatures were used. Diathermy was found to reduce operating time compared to ligatures. The possibilities for day-case tonsillectomy are discussed.

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Corresponding author

G. Watson, F. R.C.S., Consultant ENT Surgeon, Doncaster Royal Infirmary, Armthorpe Road, Doncaster DN2 5LT. Fax: (0302) 761205

References

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A study of haemostasis following tonsillectomy comparing ligatures with diathermy

  • M. G. Watson (a1), P. J. D. Dawes (a2), P. R. Samuel (a2), H. F. Marshall (a1), C. Rayappa (a2), J. Hill (a2), D. Meikle (a1), G. E. Murty (a1), J. A. J. Deans (a2), G. Telios (a1), C. Aldren (a1), J. P. Birchall (a1), A. J. N. Pritchard (a1), J. Livesey (a1) and D. Appleton (a3)...

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