Tonsillectomy is the complete removal of the tonsils. Tonsillectomy is performed, as a rule, for chronic tonsillitis (see), especially when its forms are complicated. Most often performed under local anesthesia, less often (mainly in children and restless patients) under general anesthesia. Tonsillectomy produce on an empty stomach.
The operation is made not earlier than 2-3 weeks after suffering a sore throat, flu or another infectious disease. Before tonsillectomy, a blood clotting test is necessary. On the day of surgery, the patient is recommended to clean the teeth, rinse the mouth and throat with a disinfectant solution. For tonsillectomy sterilized syringes (10–20 ml), injection needles 10–12 cm long, scalpel, double-sided elevator or disintegrator for removing tonsils, long scissors, curved hemostatic clamps (2-3), tonsil clamps, Brunings loop or tonsillitis lever Tidinga - Bohona. Some surgeons use large bone spoons. For drying the operative field, gauze (rarely cotton) balls 2.5–4 cm in diameter are used.
On the first day after tonsillectomy, the patient is laid on his side, it is strictly forbidden to talk, eat and swallow. In the following days, a gentle diet is recommended - milk, sour cream, porridge, etc.
Within 5-6 days after tonsillectomy, the patient is in the hospital. After discharge for 6-7 days, observe home mode. Gradually expanding diet. During 10—12 days physical exercise is prohibited, the factors causing a rush of blood to the head (shampooing, etc.) are excluded.
Complications of tonsillectomy: during surgery there may be heavy bleeding due to abnormalities a. tonsillaris. Postoperative bleeding may occur due to the separation of a blood clot in the surgical wound.