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I am a pediatric ENT surgeon. Almost all of the surgeries I do there is little to no bleeding (less than a teaspoon).
The body is organized into layers, like an onion. There are layers where there are no blood vessels and if you work through those layers, you do not disrupt the vessels and there isn’t much bleeding.
When we find big vessels, we put stitches around them and tie them off to prevent bleeding.
Lastly, the tools that we use have the ability to use heat or electricity to zap blood vessels and stop bleeding.