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Coblation tonsillectomy UK

Coblation is a technique that has been developed over the past ten years for the removal of tonsils. It is an alternative to more traditional methods of tonsillectomy including bipolar diathermy or cold steel instruments. How does coblation work Coblation heats surrounding tissue less than diathermy. 2.3 Efficacy 2.3.1 A systematic review of the published evidence on electrosurgery (diathermy and coblation) for tonsillectomy was commissioned by the Institute and completed in June 2005. 2.3.2 The mean operating time across the 18 studies that reported this outcome wa Tonsillectomy is still one of the commonest operations undertaken in the UK Shah UK(1), Dunham B. Author information: (1)Division of Otolaryngology, Nemours Children's Clinic/A.I. duPont Hospital for Children, Wilmington, DE 19803, USA. ushah@nemours.org Coblation technology (Arthrocare Corp., Sunnyvale, Calif., USA) allows for tonsillectomy using plasma-mediated ablation

Coblation Tonsillectomy Mr Verma has lead on the introduction of coblation tonsillectomy in Leeds. As well as training other consultants in the technique, he now routinely uses it in his NHS practise at the Leeds General Infirmary, and for his private patients at the Nuffield Leeds Hospital A minimally invasive, low thermal technology for effective dissection and removal of tissue, COBLATION technology is ideal for such ENT procedures as tonsillectomy, adenoidectomy, reduction of hypertrophic nasal turbinates, laryngeal polypectomy and lesion debulking, soft palate, snoring and sinus surgery. Over 10 million procedures have been successfully performed using our COBLATION Plasma. Coblation tonsillectomy. Interventional procedures guidance [IPG9] Published date: 17 September 2003. Guidance. This guidance has been updated and replaced by NICE interventional procedure guidance 150.. Coblation is one of the more recent techniques for tonsillectomy; however, it remains unclear whether it exhibits any benefit or increased risk when compared to other techniques. This review provides an updated assessment of coblation tonsillectomy and how it compares to other tonsillectomy techniques Tonsillectomy is carried out whilst you are asleep under a general anaesthetic. The tonsils are taken out through the mouth, and then the bleeding is stopped. This takes about 30 minutes. A child or adult who has had a tonsillectomy will then be taken to a recovery area to be watched carefully as he or she wakes up from the anaesthetic

The My Tonsils surgeon locator will help you find Ear, Nose, and Throat (ENT) doctors in your area trained to use COBLATION technology. COBLATION technology uses plasma for precise tissue removal, yielding minimal damage to surrounding healthy tissue. Published by European Archives Of Oto-rhino-laryngology : Official Journal Of The European Federation Of Oto-rhino-laryngological Societies (eufos) : Affiliated With The German Society For Oto-rhino-laryngology - Head And Neck Surgery, 18 March 2017 . Coblation is one of the more recent techniques for tonsillectomy; however, it remains unclear whether it exhibits any.. tonsillectomy rates have fallen in the UK there has been a n annual increase in acute hospital admissions with tonsillitis and its complications. Overnight oximetry • Systematic review evaluating coblation tonsillectomy versus conventional forms of tonsillectomy Royal

Coblation tonsillectomy is a surgical procedure in which the patient's tonsils are removed by destroying the surrounding tissues that attach them to the pharynx. It was first implemented in 2001. The word coblation is short for 'controlled ablation ', which means a controlled procedure used to destroy soft tissue Accreditation points - 3 from ENT UK. Course Description This COBLATION ™ course will feature scientific lectures, workshops and open discussions, enabling the delegate to learn more about COBLATION™ tonsillectomy and adenoidectomy. The subject around different methods of tonsillar tissue removal is explored in depth as wel A COBLATION tonsillectomy is the use of a COBLATION wand to remove the tonsils. Why was COBLATION tonsillectomy developed? Surgeons and patients alike have searched for years for a better way to remove the tonsils A recent study defended use of coblation surgery because of decreased bleeding and pain, but cases in the study were only 14 patients [11]. Another study in the UK found no benefits for coblation method comparing with conventional tonsillectomy, indicating that traditional tonsillectomy is superior to coblation method

BiZact™ Tonsillectomy Device - A New Indication

  1. Coblation is no longer a novel dissection method. It was introduced in the UK in 2000 and Anastasia Rachmanidou has been using the tool since 2002. Coblation is a radio-frequency dissection method that cuts and seals the wound at the same time
  2. g much more widespread within the UK. Many of the major paediatric hospitals in the UK are already using this as their main surgical technique. As more and more evidence is released about the benefits of the procedure, it is likely that more surgeons will offer it..
  3. Intracapsular coblation tonsillectomy appears to be a less painful operation in comparison to extracapsular coblation tonsillectomy. This seems to occur due to prevention of late pain flare up that normally happens several days after the procedure (described as postoperative dip) and not due to redu
  4. Surgical demonstration of COBLATION™ tonsillectomy, performed by Dr Mark Palmer at Cook Children's Medical Center, Texas, US Disclaimer This video is for informational and educational purposes only and is not intended to serve as medical advice, nor endorse any named institution
  5. Paediatric coblation tonsillectomy. Temple RH(1), Timms MS. Author information: (1)Department of Otolaryngology, Blackburn Royal Infirmary, Blackburn, Lancashire BB2 3LR, UK. r.temple@talk21.com OBJECTIVE: Tonsillectomy has been described using a number of techniques
  6. imal tissue damage. 4-6 So patients may experience less pain after surgery. 4-6,§. The BiZact™ tonsillectomy device is the right tool for the job — and it makes all the difference

Tonsillectomy performed using Coblator wand from Arthrocare. Patient is a 5 year old, performed under general anesthesia. Published with permission Coblation is one of the more recent techniques for tonsillectomy; however, it remains unclear whether it exhibits any benefit or increased risk when compared to other techniques. This review provides an updated assessment of coblation tonsillectomy and how it compares to other tonsillectomy techniques. Systematic review and descriptive analysis of published literature

Coblation for Tonsils - London EN

Within 28 days of tonsillectomy, 28 170 patients (8.8%) were readmitted and 7 deaths occurred. Readmission rates for haemorrhage and pain have increased since 2008. The proportion of children undergoing revision tonsillectomy procedures within 5 years following coblation tonsillectomy (1.4%) was approximately double that of dissection (0.6%) UCLA's Mattel Children's Hospital Offers Advanced Tonsillectomy BreakthroughThree-year-old Isabel Sandford had trouble sleeping at night. Her enlarged tonsil.. Tonsillectomy Recovery (19 Posts) Add message | Report. Hjb2410 Sat 03-Jun-17 18:31:48. Hello So I'm after some advice from people who have had tonsillectomies. I had my tonsils removed yesterday and felt like I had been hit by a bus it was horrendous, today I don't feel too bad still very sleepy and dosed up on painkillers

Electrosurgery (diathermy and coblation) for tonsillectomy - guidance; Interventional Procedure Guidance, NICE, 2005. Burton MJ, Glasziou PP; Tonsillectomy or adeno-tonsillectomy versus non-surgical treatment for chronic/recurrent acute tonsillitis. Cochrane Database Syst Rev. 2009 Jan 21(1):CD001802 In the UK, most surgeons performing intracapsular surgery will aim to remove all of the visible tonsil tissue (more than 95%). There are different ways to perform an intracapsular tonsillectomy, but one of the most popular techniques is to use Coblation®. Coblation® uses a special plasma derived from saline which breaks down tissue at. The operating time of coblation tonsillectomy is the same as the conventional tonsillectomy procedure and takes approximately 20-30 min. What are the complications of coblation tonsillectomy? Bleeding: Post-op bleeding rate is around 1% compared to 2-4% with conventional tonsillectomy if performing intracapsular tonsillectomy Tonsil removal (tonsillectomy) using COBLATION™ Plasma Technology at Brentwood Hospital . Overview; Overview. Enquire now. 01277 695695. Back to top. Enquire now. Or call us on. 01277 695695. CQC. Overall rating Good At Nuffield Health Brentwood Hospital, our specialist consultants perform this alternative procedure to traditional. haemostasis. Coblation, a variation of electrosurgery that uses lower temperatures than diathermy, was introduced in the late 1990s. It employs a bipolar probe to generate a radiofrequency current through a solution of sodium chloride. One of the most important potential complications of tonsillectomy is bleeding

Electrosurgery (diathermy and coblation) for tonsillectom

By utilising routinely collected data, we have demonstrated a change in clinical practice of tonsillectomy in the NHS between 2008/9 and 2018/9, including an overall increase in the use of coblation tonsillectomy (from 7% to 27%), and increasing use of coblation specifically in the treatment of tonsil/adenoid hypertrophy (from 7.5% to 41.5%. You will only have to be unconscious for around 20 minutes, it is very quick. At Great Ormond Street Hospital you will need to stay overnight so staff can keep an eye on you because of other medical issues. However, if you have a tonsillectomy at another hospital you may be able to leave after six hours

Paediatric tonsillectomy in England: A cohort study of clinical practice and outcomes using Hospital Episode Statistics data (2008-2019) Lookup NU author(s): Kim Keltie, Dr Paola Cognigni, Dr Andrew Sims, Steven Powell. Downloads. Published version [.pdf Tonsillectomy is a surgical procedure in which both palatine tonsils are fully removed from the back of the throat. The procedure is mainly performed for recurrent throat infections and obstructive sleep apnea (OSA). For those with frequent throat infections, surgery results in fewer sore throats in the following one to two years, but unclear long term benefits haemostasis (diathermy or coblation) had a risk of haemorrhage that was around three times larger than cold steel tonsillectomy without the use of any 'hot' technique. The risk for operations using cold steel for dissection and bipolar diathermy for haemostasis was around 1.5 times higher than cold steel operations using only ties/packs fo Tonsillectomy is an age old procedure in ENT practice. Though traditional dissection method is gold standard, we surgeons are trying different techniques like electrocautery, coblation, harmonic scalpel (HS) mainly to improve surgical convenience, to decrease operative time, post operative pain, intra and post operative bleeding and fast return to normal life

Published by ENT UK, 01 January 2021 This commissioning guide comprises two pathways of care which culminate in tonsillectomy: • Recurrent tonsillitis or its complications (e.g., quinsy) in children . 16 years and in adults • Sleep... Read Summar The Prospective National Tonsillectomy Audit (PNTA), performed in the UK on 33,921 cases (with 1565 coblation procedures) is the benchmark against which studies looking at hemorrhage rates must now be compared. 1 In the PNTA, overall primary hemorrhage rates were 0.6% (0.4% RTT) and secondary hemorrhage rates were 3% (0.5% RTT) Coblation (Co) is a relatively new technique, which may offer a better postoperative course after tonsillectomy than traditional techniques. The purpose of this study was to determine whether Co.

  1. hemorrhage following coblation tonsillectomy based on all prospective, randomized, controlled studies published to date. Materials and methods The objective of this systematic review with a meta-anal
  2. Notably, the UK National Prospective Tonsillectomy Audit [ ] included , patients that underwent tonsillec-tomy between July and September . is study found an overall haemorrhage rate around three times higher with hot surgical techniques for both dissection and haemostasis (diathermy or coblation) than with col
  3. Coblation adenoidectomy and Intracapsular tonsillectomy www.uhcw.nhs.uk 2 What are the disadvantages? Since a tiny bit of tonsil tissue is left behind the capsule, there is a small (2-3%) chance of re-growth of tonsils needing repeat surgery in future. Further Informatio
  4. utes. But there is the risk of bleeding immediately after the.
  5. Tonsillectomy is the procedure used to remove infected tonsils (known as tonsillitis). A surgeon will cut or peel the tonsils away from the layer of muscle

4 InternationalJournalofOtolaryngology 50 45 40 35 30 25 20 15 10 5 0 All tonsillectomies (%) 2002 2004 2006 2008 2010 2012 Year Bipolar diathermy Coblator Cold steel. Introduction and Aims:There is no consensus on the optimal tonsillectomy technique in adult patients. The study aims to identify all studies comparing the outcomes of coblation versus bipolar diath.. 1. Introduction. Adenoidectomy is a commonly performed procedure with an estimated 132,000 adenoidectomies without tonsillectomy performed annually in the United States .Over the years, several techniques have been developed and described for adenoidectomy including curettage with cautery, suction cautery, use of microdebrider, and coblation , .. Nine patients (1.5 %) who underwent dissection tonsillectomy needed return to theatre to control the haemorrhage where as thirty nine patients (6.7 %) who underwent coblation tonsillectomy needed surgical intervention to arrest the haemorrhage (Fig. 4; Table 1). Twenty-eight of the 52 patients who needed surgical intervention to control secondary haemorrhage were children and 24 were adults Depending on how the coblation technique is used, this can lead to less postoperative pain and a faster recovery. Is an adult tonsillectomy the same as a tonsillectomy in children? In principle the actual surgery differs little between adults and children, in that the same types of surgical techniques can be used to remove the tonsils

Entgr Tonsillectomy

Coblation for tonsillectomy: an evidence-based review

The ENT-UK tonsillectomy audit in 2005 created understandable caution in the promotion of Coblation techniques. This prospective study on 100 consecutive paediatric patients looked at outcomes following 'cold' radiofrequency ablation (Coblation) intracapsular tonsillectomy ANAESTHESIA FOR TONSILLECTOMY ANAESTHESIA TUTORIAL OF THE WEEK 51 2nd APRIL 2007 Dr Kathryn Davies The Royal Devon and Exeter NHS Foundation Trust e-mail: kathryn.davies@rdeft.nhs.uk Self Assessment 1. The tonsils are: a) located in the oropharynx. b) venous drainage is into the pharyngeal plexus. c) supplied by the hypoglossal nerve A variety of surgical tonsillectomy techniques were utilised including coblation (n=17), Bizact (n=14), cold steel (n=13) and monopolar (n=1). Haemorrhage occurred in 2.2% of cases (1/45) following a coblation procedure in a 3-year-old child

A tonsillectomy is only considered for a recurrent sore throat if certain criteria are met. Patient eligibility criteria: (coblation or cold ablation) - this method works in a similar way to diathermy, but uses a lower temperature (60˚C). Choosing Wisely UK is part of a global initiative aimed at improving conversations between. There are a multitude of techniques to undertake tonsillectomy, with hot techniques such as diathermy and coblation being associated with a higher risk of secondary haemorrhage. The UK National Prospective Tonsillectomy Audit (2004) advocated cold steel dissection and ties to be the gold standard. This prospective observational study investigates the trends in tonsillectomy techniques across. Conclusion:Coblation tonsillectomy is a useful technique in having a low primary and secondary bleeding rates in children undergoing tonsillectomy and adenotonsillectomy. Key words: Coblation DOI: 10.1002/lary.23526 Corpus ID: 206199958. Coblation tonsillectomy in children: Incidence of bleeding @article{Walner2012CoblationTI, title={Coblation tonsillectomy in children: Incidence of bleeding}, author={D. Walner and S. Miller and D. Villines and G. Bussell}, journal={The Laryngoscope}, year={2012}, volume={122}

i loved reading your diary.I had a coblation tonsillectomy here in the uk, on tuesday just gone and i wish id never bothered.Today is day 6 and its been the hardest so far.If I eat anything it stings but I have been eating pretty normally until today.We are told not to eat jelly or icecream or smooth foods we are told to eat toast or rough stuff to get rid of any debris that might be hanging. tonsillectomy in the UK. Methods Between 1 January 2007 and 14 January 2013, 476 children underwent elective day-case tonsillectomy, with or without adenoidectomy and/or insertion of ventilation tubes. All children fulfilled the medical and social criteria for day surgery.11 The indications for tonsillectomy were recurrent acut

Coblation Tonsillectomy - entleeds

Intatracapsular Coblation ® Tonsillectomy (Tonsillotomy) and Coblation ® Adenoidectomy: In this technique, the tonsil contents are dissolved away up-to but not through its capsule. As the large blood vessels in the muscle beyond are not exposed, this procedure has less risk of bleeding and discomfort. The recovery period is much quicke Intracapsular tonsillectomy is usually performed using coblation. This involves using an instrument that allows the tonsils to be carefully dissolved away. One small drawback of intra-capsular tonsillectomy is that small amounts of tonsil tissue are occasionally left behind For every 1000 patients having a tonsillectomy, 50 patients would have a bleed with coblation, compared to 36 with traditional surgical techniques. Quality of the evidence The evidence for the difference in pain is of low or very low quality and for the difference in bleeding after surgery it is of low quality

New technology improves children’s tonsillectomy recovery

COBLATION Plasma Technology Smith & Nephew U

Dr Michael has given presentations on the technique of Coblation Tonsillectomy at meetings throughout the UK, Europe, Africa, The Middle East, and The Far East, including to the British Academic Conference in Birmingham and the American Academy Meeting, Orlando, USA COBLATION technology gently and precisely removes targeted tissue and is ideal for use in surgical procedures of Laryngeal and soft palate anatomy. Over 12 million procedures have been successfully performed using COBLATION technology since the introduction of our first Tonsillectomy Wands in 1998

Coblation tonsillectomy Guidance NIC

Coblation Tonsillectomy: Solving Breathing And Swallowing

Coblation tonsillectomy: a systematic review and

- Modern Technology - Coblation Tonsillectomy (taking out the tonsils completely) - Modern Techniques - Coblation Tonsillotomy (sculpting down the tonsil rather than removing it) - Adenoidectomy - Tonsillectomy and Soft palate surgery for adult snoring / Sleep apnoea - Tonsillectomy for Childhood snoring and sleep apnoea (2 years + The main complication for tonsillectomy is post-operative haemorrhage. This normally happens to 2-3% of patient if performed using the traditional method, and slightly lower with the coblation method. Other possible complications include infection, minor lip and dental injury (bruising or cutting to lip or gum area) Sore throat (acute): antimicrobial prescribing. National Institute for Health and Care Excellence (NICE), January 2018. www.nice.org.uk; About children's tonsil surgery. ENTUK. www.entuk.org, last updated November 2015; Pynnonen M, Brinkmeier JV, Thorne MC, et al. Coblation versus other surgical techniques for tonsillectomy

The number of people needing to undergo tonsillectomy to prevent one recurrence of streptococcal pharyngitis during the few months after tonsillectomy was five (NNT = 5). The authors concluded that tonsillectomy is an effective alternative for adults with a documented history of recurrent episodes of pharyngitis smith & nephew (UK) Accredited Training CENTER. trained more than 150 ENT doctors from south India on coblation assisted surgeries. coblation tonsillectomy endoscopic tympanoplasty coblation tonsillectomy. 5 minutes bloodless daycare surgery to remove tonsils. video & more. coblation adenoidectom Intracapsular tonsillectomy is usually performed using coblation. This involves using a probe, or wand, that allows the tonsils to be carefully dissolved away at low temperatures (typically 40-60 degrees celsius). One small drawback of intra-capsular tonsillectomy is that small amounts of tonsil tissue are occasionally left behind 1 Clarke MB, Forster P, Cook TM. Airway management for tonsillectomy: a national survey of UK practice. Br. J. Anaesth. 2007; 99:425-8 2 O'Flynn P, Silva S, Kothari R, Persaud R. A multicentre audit of single-use surgical instruments (SUSI) for tonsillectomy and adenoidectomy. Ann R Coll Surg Engl 2007; 89:616-2

Modern Tonsillectomy - YouTubeTonsils - Children's ENT London

When comparing coblation and traditional techniqu-es, surgeons detected hemorrhage with tissue da-mage in 1% of the patients, and early postoperative recovery for coblation technique7. In another study, coblation tonsillectomy had shown a drastic decre-ase in postoperative pain comparing with conventi-onal technique8,9. As for PEAK PlasmaBlade. Tonsil removal / tonsillectomy / tonsillitis; Voicebox and vocal cords examination by camera; Paediatric ENT (coblation tonsillectomy, adenoidectomy, grommets, neck lumps, allergy) Pinnaplasty (bat ears) Rhinology (nose and sinus surgery, FESS, balloon sinuplasty, allergy, blocked nose, nasal polyps, snoring, nose bleeds, smell disorders Privately I was only given the option of coblation, but here this technique would fully remove the tonsils and would be a tonsillectomy via coblation. This is how I got my tonsils removed. Surgery and recovery diary- Pre-day zero: it's Covid times so three days before surgery I was required to have bloods taken and a Covid test Christopher Y. Chang, Thrasher R. Coblation Cryptolysis to Treat Tonsil Stones. ENT Journal. 91(6):238-240. June 2012. Related Blog Articles. Bacteremia IS Present During Tonsillectomy! Tonsil Crypts Can Hide HPV in Healthy Adults; Bleeding After Tonsillectomy (Pictures) Should Toothbrushes be Thrown Out After Strep Throat Correspondence 571 Double-blind randomized control trial of coblation tonsillo- CORRESPONDENCE tomy versus coblation tonsillectomy on post-operative pain in children 8 July 2005 Sir, period. The patient would have completed the question- We write in reference to the paper entitled 'Double-blind naire four times during their inpatient stay

Tonsillectomy is a procedure to remove tonsils if they are infected, cause sleep apnea or get frequent stones. It can be done by cold steel instruments, diathermy, coblation or LASER. Adenoidectomy is the procedure to reduce the size of adenoids as adenoids are attached to neck muscles and skull base Special training in Coblation Surgeries for Tonsillectomy, Adenoidectomy & Snoring and Sleep Apnoea, England. Head & Neck Fellowship at Tata Memorial Hospital, Mumbai. Training in Laser and Laryngeal Voice Surgery KEM Hospital Mumbai Conclusion:Coblation tonsillectomy is a useful technique in having a low primary and secondary bleeding rates in children undergoing tonsillectomy and adenotonsillectomy. Key words: Coblation. Tonsillectomy. Adenoidectomy. Bleeding. Re-admission. Radiofrequency ablation. 1 Department of Otolaryngology / General Surgery2, Aberdee A tonsillectomy is the complete removal of the tonsils. Like any surgical procedure, there are risks of complications such as bleeding and infection. Chang CY, Thrasher R. Coblation. Tonsillectomy (Adult) This page will provide you with information about having a tonsillectomy. For further details, please speak to your consultant. What is a tonsillectomy? A tonsillectomy is a procedure to remove the tonsils, which form a group of lymphoid tissues at the rear of your throat - much like the glands in your neck

COBLATION Plasma Technology | Smith & Nephew UK

Tonsillectomy is a very common procedure and specific complications are uncommon. Sometimes bleeding can occur up to a week after the operation. If you develop any of the following symptoms - persistent or and increase bleeding, the inability to drink normally which can lead to dehydration and / or a high temperature - please call us straight away guidelines highlight the role of tonsillectomy in patients with recurrent tonsillitis as well as in children with obstructive sleep apnoea (OSA). There is however a lack of evidence to support the use of tonsillectomy in the management of tonsil stones. Tonsillectomy is a morbid procedure with patients experiencing significant post-operative pain Tonsillectomy Adult - What to Expect. Tonsillectomy as an adult is quite different than tonsillectomy for children.The methods employed for tonsillectomy in adults and children are generally the same, (See Tonsillectomy and Adenoidectomy Methods page), and the risks for adults are similar to the risks for children, (See The Tonsillectomy Risks. Methods of Tonsillectomy: Dissection method; Coblation Tonsillectomy: Better than LASER, Ultrasonic scalpel or Cryo with Minimum bleeding, Minimum heat generated at the operation site, Minimum post-operative pain. Now practising in most of the Hospitals

Intracapsular Tonsillectomy on Vimeo

Healing after a tonsillectomy can be different for each person: Pain is common and may get worse 3 to 4 days after the surgery. This pain is often worse in the morning and may last up to 2 weeks. Your doctor will design a medication plan to address your pain Aug. 20, 2004 -- Diathermy and coblation tonsillectomy have a postoperative hemorrhage rate at least three times that of cold steel tonsillectomy without use of hot techniques, according to. tonsillectomy with bipolar diathermy haemostasis (2007), the χ2-test with Yates' correction and the Mann-Whitney U-test were performed to compare coblation tonsillectomy and dissection tonsillectomy and the groups were statistically comparable by age, weight, and operation type (p 263) coblation tonsillectomy in children is near a bloodless surgery with little pain after surgery as well as there is still a risk for secondary bleeding but the experienced users of coblation technology in UK confirms the safety of coblation surgery for tonsillectomy regarding the bleeding issue and with less postoperative pain. 6 Media in category Tonsillectomy The following 42 files are in this category, out of 42 total. An American text-book of the diseases of children (1895) (14595739888).jpg. Coblation Tonsillectomy Surgery.jpg. Coblation wand.jpg. De-Tonsillektomie.ogg 2.4 s; 24 KB. Diseases of the nose and throat (1903). Our study was restricted to primary haemorrhage to consider the benefits of day-case discharge after tonsillectomy and because no suitable paediatric preparation of oral TXA is currently available in the UK. This study reports a single surgeon experience, using only Coblation™ for tonsillectomy and suction coagulation for adenoidectomy

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