UltraCision harmonic scalpel versus clamp‐and‐tie total thyroidectomy: A clinical trial
- 29 September 2009
- journal article
- research article
- Published by Wiley in Head & Neck
- Vol. 32 (6), 723-727
- https://doi.org/10.1002/hed.21240
Abstract
Background Hemostasis is important in thyroid surgery to avoid complications. Our aim was to evaluate the effectiveness of the harmonic scalpel in patients undergoing total thyroidectomy. Methods In this study, 90 patients were randomized into group A (classic technique of tying and knots) and group B (harmonic scalpel). We recorded the following: age, sex, pathology, thyroid weight, hemostatic technique, duration of operation, change in calcemia (ΔCa), change in hematocrit (ΔHt), change in hemoglobin (ΔHgb), change in white blood cell count (ΔWBC), vocal motility, operative difficulty, postoperative vocal alteration, postoperative pain, complications, blood in the drains, operating time, mass of gland excised per minute, and hospitalization. Results Differences (p < .05) were observed concerning duration of surgery, operative difficulty, postoperative pain, hospitalization, ΔWBC, and quantity of gland removed per minute. No recurrent laryngeal nerve (RLN) palsies were observed. Conclusions Use of the Harmonic Scalpel in total thyroidectomy is more effective than the clamp‐and‐tie technique: the duration of surgery, intraoperative difficulty, postoperative pain, and hospitalization are reduced. Both techniques are equivalent concerning RLN injuries, postoperative vocal alterations, and blood loss. © 2009 Wiley Periodicals, Inc. Head Neck, 2010Keywords
This publication has 17 references indexed in Scilit:
- Risk factors of incidental parathyroidectomy after thyroidectomy for benign thyroid disordersInternational Journal of Surgery, 2009
- Kinetics of serum parathyroid hormone during and after thyroid surgeryBritish Journal of Surgery, 2008
- Ligasure versus Ultracision® in thyroid surgery: a prospective randomized studyLangenbecks Archives Of Surgery, 2008
- Complications to thyroid surgery: results as reported in a database from a multicenter audit comprising 3,660 patientsLangenbecks Archives Of Surgery, 2008
- Electrothermal bipolar vessel sealing system is a safe and time-saving alternative to classic suture ligation in total thyroidectomyHead & Neck, 2005
- Complications of Thyroid Surgery: Analysis of a Multicentric Study on 14,934 Patients Operated on in Italy over 5 YearsWorld Journal of Surgery, 2004
- Efficacy and Cost-Effectiveness of the UltraCision® Harmonic Scalpel in Thyroid Surgery: An Analysis of 200 Cases in a Randomized TrialJournal of Laparoendoscopic & Advanced Surgical Techniques, 2004
- Morbidity of thyroid surgeryThe American Journal of Surgery, 1998
- Tissue Destruction by NeutrophilsNew England Journal of Medicine, 1989
- Neutrophils in Human DiseasesNew England Journal of Medicine, 1987