It has been postulated that the bacteraemia rate following guillotine
tonsillectomy is lower than that following dissection tonsillectomy du
e to intra-operative compression of tonsillar blood vessels by the gui
llotine. The aim of this study was to evaluate the incidence of bacter
aemia following dissection and guillotine tonsillectomy. Sixty-four pa
tients undergoing elective tonsillectomy for recurrent acute tonsillit
is were randomly-selected, 32 underwent dissection tonsillectomy and 3
2 guillotine tonsillectomy. Positive intra-operative blood cultures we
re obtained in 16 patients (25 per cent), nine (28.1 per cent) of the
dissection group and seven (21.8 per cent) of the guillotine group. Th
ere was no significant difference between the two methods (Chi-squared
test, p = 0.77).