Adenotonsillectomy: A Safe Outpatient Procedure

摘要: • Traditionally, adenotonsillectomy in children and tonsillectomy adults have been performed as inpatient procedures. Our experience with this procedure outpatient started 1975 at the University of Miami–Jackson Memorial Medical Center. From to 1987, 1428 cases Florida Cleveland were reviewed evaluate safety efficacy technique used. Bismuth subgallate epinephrine mixture for hemostasis is used without relying on electrocautery, ties, or suture control bleeding. The incidence immediate delayed postoperative bleeding a series patients was extremely low (four [0.28%] cases). has good hemostatic properties allowing vessels contract retract into muscle tonsillar fossae adenoid bed. activates factor XII (Hageman factor) and, therefore, markedly accelerates cascade blood clotting. Outpatient safe, cost-effective, minimizes psychologic implications, which may be an important factor, especially children. Ambulatory not well emphasized literature. ( Arch Otolaryngol Head Neck Surg 1989;115:92-94)