What is a coblation surgery and What is a Coblator & principle behind coblation?

Brainiac Breakdown

Welcome to Brainiac Breakdown, Coblation (a word derived from "controlled ablation" involves using low-temperature radiofrequency and a saline solution to gently and precisely remove the problematic tissues. The risk of injury to surrounding tissue is much lower than with cautery, and patients return to their normal activities more quickly.

Transcript

00:00hi so we are going to talk about coablation coablation in ent surgery what is coablation

00:09coablation that is controlled ablation the word ablation has come from geography which means

00:18when the surface of the snow gets removed it's a process by liquefaction or a sublimation

00:26it's that we are using the process over here in surgery it is when the surface of the tissue is

00:33removed by plasma that's the action so coablation that is controlled ablation it was uh first started

00:42in 2001 that time we had nokia 6310 mobile phone i think and that process now we we are using

00:53very well not just in ent but also in orthopedics we use mainly for tonsils and adenoids and recently

01:00we have started using in the cyanonasal surgery as well so let me show you what it is exactly

01:06so this is the coablation system okay there is this bag of saline this is the fluid which goes in and

01:14which controls the flow this is a wand like the harry potter wand we call it wand and then we have a

01:22controller foot pedal you can see yellow and blue like a normal coterie ablate and coagulate so if you

01:32can see over here come closer there are three wires over there one is this is electricity this is the system

01:42where the plasma current is generated you can see there is some value which we can increase or decrease

01:52same over here okay then this current goes in and there are two channels this is a used one that's

02:00why you can see the red and can you see over here these are the electrodes ceramic electrodes which produce

02:08the plasma current so for the plasma current we want the surface of the electrode to be filled with

02:17liquid saline for which we have this channel from here the saline will come in come out it will work

02:28and excess of the saline will get suctioned from here coming in over here so can you see

02:39the red thing is the blood and saline excess saline which gets suction this is the end where we connect to

02:47the suction we have a channel where we can control the flow up and down okay so whenever we use this

02:55the liquid goes on top of it a current is formed and it evaporates the tissue and this is controlled by

03:06the foot pedal there are different types of wands so there are different types of wand there is a needle

03:14as well which we can use so this current basically is a it produces low heat around 60 to 80 degrees

03:22in bipolar the heat is a lot maybe at least 200 degrees Celsius and it can vary up to 600 so why are we

03:33using this less burning that is less post-operative pain when we use bipolar like bipolar translectomy or

03:42in nose surgery it will char the surrounding tissue as well and which will result in post-operative pain

03:48the kids or the patient when they wake up they'll experience more pain when we use bipolar as against

03:56with this the pain is minimal one thing i'd like to add you know as i said you know there's a current

04:02which comes on this and the surface of plasma is formed this should not generate smoke and if you're operating

04:12and it generates smoke that means there is no water current going in it is blocked the suction is blocked

04:18and that's why the tissue is burning that time stop it take it out clean it you can clean with tissue

04:25sorry not tissue swab swab or scratch card and then it will start working

04:32it is very well used in tonsils or we can use in hst patients are having a lot of repeated nose bleeds

04:42in that and also in case of adenoids thank you

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