Tonsillectomy and VA curettage with the latest generation Coblator: Less pain, less bleeding

The article was professionally consulted by Dr. CCII Nguyen Van Thai - Department of Otolaryngology and Head and Neck Surgery, Vinmec Danang International General Hospital. Thai doctor has more than 17 years of treatment experience, especially in the field of Head and Neck Surgery. His strength is examining and consulting otolaryngology and head and neck diseases, head and neck surgery.

Tonsillitis and VA are very common in young children. The disease can be completely cured by medical treatment, however, in some cases, tonsillitis and VA persist and recur many times, seriously affecting the health of children, and need to be removed for complete treatment. point. Currently, the method of tonsillectomy and VA curettage with the latest generation Coblator is a modern and safe method being applied.

The tonsils and VA, also known as the tonsils, are lymphoid organizations, which play a role in protecting the body from infectious agents. They play an initial role in identifying pathogens such as bacteria and viruses. , parasites and produce antibodies against them. Due to its concentrated location in the pharynx, which is the gateway to the respiratory and digestive tracts, and often exposed to external agents, the tonsils and VA are very often infected with inflammation, manifested by episodes of acute or recurrent inflammation. Repeatedly becomes chronic and affects health.
The tonsils and VA themselves are anti-infective organizations, helping to protect the body, but when they are infected, especially when the infection recurs many times, they become the foci of infection. must be cut off. Cases should remove tonsils and curettage of the VA including:
Inflammation of the tonsils and tonsils causing complications such as: Complications close to causing obstruction or infection of surrounding tissues: Obstruction of the posterior nasal passage causes fluid retention, infection Infection of the nose, blocked eustachian tube causes otitis externa, abscess on the side of the throat... Distant complications cause dangerous organ damage such as glomerulonephritis, arthritis, rheumatic heart disease. Recurrence of tonsillitis and VA many times a year: more than 5 times/year, or more than 3 times/year for 2 consecutive years or more than 3 times/year for 3 consecutive months, poor response to treatment Medical. Tonsillitis and VA are overstimulated: Causing complications affecting Spoken-Swallowing-Breath function such as snoring, sleep apnea, difficulty swallowing, difficulty speaking also need to be removed.

If in the past, cutting tonsils and VA was a horrifying experience for patients when using old methods such as using a unipolar scalpel, laser ... causing a lot of pain, bleeding and damage to surrounding tissues a lot as well. like a long recovery time.
Tonsillectomy and VA curettage by Coblator system is a new method, applied in recent years that has shown high efficiency and safety.
2.1. Coblator machine system and treatment principle

The important point of the coblator method of cutting tonsils and VA is the use of a plasma knife. The plasma knife is created from high frequency electromagnetic waves, called radio waves, the energy from these radio waves will create a conductive cloud around the cutting device, allowing to cut and destroy tissue at high temperatures. The temperature is quite low, only 60 to 70 degrees Celsius, much lower than electric knives or lasers (200 to 400 degrees Celsius). The latest coblator system uses a multi-function transducer that can both cut using high-frequency waves (acting as a plasma knife) and water to cool down and absorb debris. Besides, radio waves also cause blockage of small blood vessels, so hemostasis in surgery is very good. The combination with modern endoscopic imaging systems allows doctors to clearly observe the lesions during surgery, ensuring ensure both removal of diseased tissue and maximum preservation of healthy tissue.

After a full patient assessment and preparation, under endoscopic guidance, the tonsils and VA will need to be removed, and the lesions and surrounding structures are assessed. The tonsils and VA that need to be removed will be treated sequentially according to the following steps: Removal of the lesion with a plasma knife, watering to cool down after each cut, aspiration to clean the cut area, and burning to stop bleeding. The sequential and accurate implementation of steps when performing tonsillectomy and VA curettage with the coblator system, helps to minimize pain and minimize blood loss. 2.3. Advantages of tonsillectomy and curettage with Coblator system With outstanding features as above, tonsillectomy and curettage with Coblator system brings many advantages to patients and doctors including:
The surgery is almost painless and has very little bleeding, the time is very fast, only 5 to 10 minutes. Be sure to remove all the infected tissue and preserve the healthy tissue well. You can eat and drink right after the surgery, the hospital stay is fast only 1 day after surgery. Currently, Vinmec International General Hospital has been regularly applying the method of cutting tonsils and VA using the Coblator system, with a team of good and experienced Otolaryngologists and equipment system. Modern amenities will be the perfect choice for patients.
As a key area of ​​Vinmec Health system, Pediatrics Department always brings satisfaction to customers and is highly appreciated by industry experts with:
Gathering a team of top doctors and nurses in Pediatrics : consists of leading experts with high professional qualifications (professors, associate professors, doctorates, masters), experienced, worked at major hospitals such as Bach Mai, 108.. Doctors All doctors are well-trained, professional, conscientious, knowledgeable about young psychology. In addition to domestic pediatric specialists, the Department of Pediatrics also has the participation of foreign experts (Japan, Singapore, Australia, USA) who are always pioneers in applying the latest and most effective treatment regimens. . Comprehensive services: In the field of Pediatrics, Vinmec provides a series of continuous medical examination and treatment services from Newborn to Pediatric and Vaccine,... according to international standards to help parents take care of their baby's health from birth to childhood. from birth to adulthood Specialized techniques: Vinmec has successfully deployed many specialized techniques to make the treatment of difficult diseases in Pediatrics more effective: neurosurgery - skull surgery, stem cell transplantation. blood in cancer treatment. Professional care: In addition to understanding children's psychology, Vinmec also pays special attention to the children's play space, helping them to have fun and get used to the hospital's environment, cooperate in treatment, improve the efficiency of medical treatment.