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USE OF DIATHERMY IN SUBMUCOUS RESECTION

USE OF DIATHERMY IN SUBMUCOUS RESECTION Abstract It is well known that occasionally there is rather profuse bleeding at the site of the incision for submucous resection, which is troublesome to stop, and that one has to use suction and epinephrine or attempt to catch the small bleeder with a hemostat. This happened in a submucous operation which I performed several months ago. Earlier in the morning I had been using the diathermy knife for the removal of a small basal cell tumor, and it occurred to me that a bloodless incision for the submucous operation might be made with the cutting blade of the diathermy knife. All of my submucous operations are performed with the area under local anesthesia induced after a preliminary medication of 1½ grains (0.097 Gm.) of pentobarbital sodium and a no. 1 or a no. 2 injection of a mixture of hyoscine, morphine and cactine. I first swab the mucous membrane with http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Otolaryngology American Medical Association

USE OF DIATHERMY IN SUBMUCOUS RESECTION

Archives of Otolaryngology , Volume 38 (5) – Nov 1, 1943

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Publisher
American Medical Association
Copyright
Copyright © 1943 American Medical Association. All Rights Reserved.
ISSN
0003-9977
DOI
10.1001/archotol.1943.00670040464004
Publisher site
See Article on Publisher Site

Abstract

Abstract It is well known that occasionally there is rather profuse bleeding at the site of the incision for submucous resection, which is troublesome to stop, and that one has to use suction and epinephrine or attempt to catch the small bleeder with a hemostat. This happened in a submucous operation which I performed several months ago. Earlier in the morning I had been using the diathermy knife for the removal of a small basal cell tumor, and it occurred to me that a bloodless incision for the submucous operation might be made with the cutting blade of the diathermy knife. All of my submucous operations are performed with the area under local anesthesia induced after a preliminary medication of 1½ grains (0.097 Gm.) of pentobarbital sodium and a no. 1 or a no. 2 injection of a mixture of hyoscine, morphine and cactine. I first swab the mucous membrane with

Journal

Archives of OtolaryngologyAmerican Medical Association

Published: Nov 1, 1943

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