Background: Adult Tonsillectomy as a day care procedure is challenging task for any ENT surgeon because of the sole reason of haemorrhage encountered during Tonsillectomy as the surgeon and anesthetist has to compromise at the airway for the surgery to be done under general anesthesia. With proper patient selection, adequate pre-operative care, meticulous surgical dissection, good post-operative care can bring out success in day care procedure. Thus we can reduce the burden to the patients as well as hospital staff in terms of time, man power, hospital resources, money and less period of hospital stay. Methods: In our present study we have performed adult tonsillectomy as a day care procedure for selected 70 patients between the ages of 16 years to 35 years. Patients were selected with the diagnosis of chronic Tonsillitis and obstructive sleep apnea. Tonsillectomy was performed by using Dissection and snare method. Results: In our study of 70 patients, we observed that 2 cases had reactionary hemorrhage due to the presence of clot in the tonsillar fossa, which were managed with the simple treatment. There were no cases of secondary haemorrhage. Conclusion: Thus we conclude the adult tonsillectomy can be performed as a day care procedure with a careful selection of the case, pre and post-operative management as this will be more economical by reducing the cost as well as hospital stay for the patient
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