Aim: Thyroidectomy is a surgical procedure that requires meticulous dissection, safe anatomical exposure and effective haemostasis. The aim of the present study is to compare the use of the harmonic scalpel with conventional haemostatic techniques in patients with benign thyroid enlargement undergoing total thyroidectomy Method: Consecutive patients treated for thyroid enlargement at our institution were evaluated for inclusion. Participants were randomly allocated to receive total thyroidectomy using harmonic scalpel (HS) or using ligature conventional thyroidectomy (CT), Study variables included operative time, length of incision, operative bleeding, postoperative drainage, hospital stay and complication. Results: one hundred and thirty patients with benign thyroid enlargement were randomized and completed the study. The mean incision length was 5.14±1.13 cm (4 -7 cm) in HS group and 8.78±1.4 cm (6-11 cm) in CT group p=0.04. Operative time was 50.27 ± 8.03 minutes for HS and 102.38 ± 14.63 minutes for CT (p=0.001). There was a significant difference in intraoperative bleeding and postoperative drainage between the two groups. Five patients (7.7%) in CT group and two patients (3.15%) in HS group experienced transient recurrent laryngeal nerve palsy (p= 0.24) .Two patients (3.15%) in HS group suffered from manifested hypocalcaemia and six patients (9.2%) in CT groups. Conclusion: HS is a safe, easier and effective alternative to knot tying technique for total thyroidectomy, allowing for a significant reduction of operative time, shorter incision, less intraoperative bleeding, less postoperative drainage without increasing complication rate.
Askar, W., Roshdy, H., El Nakeeb, A., Moatamed, A., El Lithy, R., & Hayes, S. (2011). THE USE OF HARMONIC SCALPEL VERSUS KNOT TYING FOR TOTALTHYROIDECTOMY. A PROSPECTIVE RANDOMIZED STUDY. The Egyptian Journal of Surgery, 30(2), 48-54. doi: 10.21608/ejsur.2011.367367
MLA
Waleed Askar; Hosam Roshdy; Ayman El Nakeeb; Ahmed Moatamed; Ramadan El Lithy; Salwa Hayes. "THE USE OF HARMONIC SCALPEL VERSUS KNOT TYING FOR TOTALTHYROIDECTOMY. A PROSPECTIVE RANDOMIZED STUDY", The Egyptian Journal of Surgery, 30, 2, 2011, 48-54. doi: 10.21608/ejsur.2011.367367
HARVARD
Askar, W., Roshdy, H., El Nakeeb, A., Moatamed, A., El Lithy, R., Hayes, S. (2011). 'THE USE OF HARMONIC SCALPEL VERSUS KNOT TYING FOR TOTALTHYROIDECTOMY. A PROSPECTIVE RANDOMIZED STUDY', The Egyptian Journal of Surgery, 30(2), pp. 48-54. doi: 10.21608/ejsur.2011.367367
VANCOUVER
Askar, W., Roshdy, H., El Nakeeb, A., Moatamed, A., El Lithy, R., Hayes, S. THE USE OF HARMONIC SCALPEL VERSUS KNOT TYING FOR TOTALTHYROIDECTOMY. A PROSPECTIVE RANDOMIZED STUDY. The Egyptian Journal of Surgery, 2011; 30(2): 48-54. doi: 10.21608/ejsur.2011.367367
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