This is an automatically translated article.
The article was advised by Dr. CCII Nguyen Van Thai - Department of Otolaryngology and Head and Neck Surgery, Vinmec Danang International General Hospital and Doctor of Pediatrics - Neonatology - Vinmec Hai Phong International General Hospital.
Tonsillectomy and VA curettage for children is a surgery performed quite a lot today to thoroughly treat tonsil and VA pathologies. There are many surgical methods that have been and are being applied, depending on the medical facility's conditions, the doctor's qualifications, the patient's ability and specific conditions. Each method has its own advantages and disadvantages. In which surgery to remove tonsils and VA by coblator system is one of the most modern methods and has many outstanding advantages being applied today.
1: Removal of tonsils and curettage of VA by classical surgery
That is, tonsillectomy and curettage of the VA by traditional surgical methods, performed under sedation or general anaesthesia.
The tonsillectomy and VA curettage used in children is a Sluder Ballenger or dissection with a common cutlery or noose
This method has the advantages of low cost, ease of operation, but the disadvantage is that pain and bleeding a lot, surgery and recovery time is long. Currently, it is almost only applied in places where medical equipment is limited.
2: Cut tonsils and curettage VA with electric knife
This is a fairly modern method, the patient will be anesthetized to conduct tonsillectomy
Instruments used for tonsillectomy and VA curettage are unipolar, bipolar or modified high frequency electric knives
Advantages of the method This method is to limit bleeding during surgery, the surgery time is relatively fast, the equipment is not too demanding, but the disadvantage is that the pain during surgery and after surgery is still quite a lot, and because The knife cannot bend or change shape, so it will have difficulty in deep surgical sites, causing more damage to surrounding tissue.
3. Cut tonsils by ultrasound machine:
This is a new, quite modern method. A special feature of this method is that the cutting tool uses very high frequency ultrasonic waves of about 55,000 Hz, so it has the advantage that the low cutting temperature causes very little tissue damage and pain. However, the limitations are poor intraoperative hemostasis, high risk of bleeding, long operative time and the need for modern equipment.
4: Burn tonsils and VA with CO2 . laser
This is a modern, newly applied method.
The special feature of this method is that it uses a CO2 laser beam to burn, destroy tissue and cause evaporation.
The great advantage of this method is that the procedure is very fast, only about 10 to 15 minutes, causes little tissue damage, has good hemostasis for small blood vessels, and the recovery time is quite fast. However, the limitation of this method is that the laser beam is quite difficult to adjust, requires a very experienced doctor, and it is difficult to stop bleeding if the large blood vessel has a high temperature during surgery and causes pain.
5: Tonsillectomy and VA curettage with the Coblator system using a plasma knife
This is one of the most modern methods for tonsillectomy today, with advantages compared to other methods. This method uses the Coblator system to cut tonsils with a plasma knife, a knife created by using high-frequency energy waves, creating a conductive cloud around the cutting device. The Coblator system allows cutting while cutting. , both watering and sucking, the cutting temperature is very safe, only about 67 degrees Celsius. The plasma knife can be bent at the discretion of the surgeon allowing surgery in difficult positions, the ability to stop bleeding is very good
With those With the above characteristics, tonsillectomy with the Coblator system brings outstanding advantages such as: Fast surgery time only about 15 to 30 minutes, very little bleeding, very little pain, very little damage to surrounding tissue, surgery. Even in difficult positions, recovery and discharge time is very fast, only about 1 day. The only limitation of this method is the high cost of equipment compared to other methods.
Currently, Vinmec International General Hospital has been regularly applying the method of tonsillectomy and VA with the Coblator system. With a team of skilled and experienced ENT doctors and a system of modern and comfortable equipment, it will be the perfect choice for patients.
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Reference:
https://www.chuyenkhoataimuihong.com/cac-phuong-phap-cat-amidan.html https://bookingcare.vn/cam-nang/phuong-phap-cat-amidan-nao-cho-tre -tot-nhat-va-chi-phi-bao-nhieu-tien-p1383.html http://taimuihongtphcm.com.vn/en/cac-phuong-phap-cat-amidan
