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Credit
Removal of tonsils and adenoids. Public Domain Mark. Source: Wellcome Collection.
Removal of tonsils and adenoids.
- Date:
- 1930
- Videos
- Online
About this work
Description
Steps of operation for removal of tonsils by dissection and of adenoids by La Force Guillotine (a type of surgical instrument). 2 segments.
Publication/Creation
England, 1930.
Physical description
1 encoded moving image (11.30 min.) : silent, black and white
Duration
00:11:27
Copyright note
Copyright previously held by British Medical Association and assigned to Wellcome in 2005
Terms of use
Unrestricted
Public Domain Mark
Contents
Segment 1 The patient, a young child, is unconscious and positioned on the table. Her eyes and hair are covered. First, the procedures for dissection of the right tonsil are shown. Her mouth is held open and her tongue held out of the mouth. The throat is dried using swabs. The capsule is exposed. The tonsil is separated by gauze dissection. The posterior pillar is exposed and separated. Gauze is applied to control bleeding from the fossae. An illustration shows the nutrient tonsillar vessel running in lingual ligament and supplying the tonsil. It also shows the paratonsillar vessel draining the soft palate adherent to the tonsillar capsule, but not draining the tonsil. The paratonsillar vessel lies in the tonsillar bed after separation from the tonsil. When the paratonsillar vessel is torn, it hangs free in the mouth. Time start: 00:00:00:00 Time end: 00:05:23:03 Length: 00:05:23:03
Segment 2 The paratonsillar vessel is delicate and may be torn. The method of ligaturing it is shown using the surgical instruments and a piece of thread. Next, the removal of adenoids by clean division using La Force Guillotine is shown. The tool is shown, and its movements demonstrated. The guillotine is introduced, and the window of it is made to encircle the adenoid pad. Gauze is applied between the guillotine and adenoid stump to control haemorrhage. After two minutes, the guillotine containing the pad is removed. The pillars are left undamaged and symmetrical, the mucus membrane intact and the throat dry. The tonsils and adenoid pad are removed complete and untorn. The adenoid pad and two tonsils are displayed next to a coin to show their sizes. Time start: 00:05:23:03 Time end: 00:11:27:18 Length: 00:06:04:15
Creator/production credits
Produced by John R. Griffith and filmed by the Medical Department at Kodak Ltd., London.