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1:750 laser tonsillectomies bleed, a bit.

We have performed many laser tonsillectomies using local anaesthetic spray for numbness. Today, number 748 bled a little. I found an area where #tonsilstones were forming in the top of the tonsil. I went too deep in my eagerness to completely remove the involved tissue, and probably hit a small branch of the superior tonsil artery. After bipolar diathermy, Lignospan injection and topical adrenaline the patient stopped bleeding and subsequently went home.

It just shows you have to be prepared and test your emergency kit regularly, ready for that 1:750 case.


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