Impact of scalpel type on operative time and acute complications in thyroidectomies.

Autor:	Fraga TS; A.C. Camargo Câncer Center, Departamento de Cirurgia de Cabeça e Pescoço e Otorrinolaringologia, São Paulo, SP, Brazil., Köhler HF; A.C. Camargo Câncer Center, Departamento de Cirurgia de Cabeça e Pescoço e Otorrinolaringologia, São Paulo, SP, Brazil. Electronic address: hkohler75@uol.com.br., Chulam TC; A.C. Camargo Câncer Center, Departamento de Cirurgia de Cabeça e Pescoço e Otorrinolaringologia, São Paulo, SP, Brazil., Kowalski LP; A.C. Camargo Câncer Center, Departamento de Cirurgia de Cabeça e Pescoço e Otorrinolaringologia, São Paulo, SP, Brazil.
Jazyk:	angličtina
Zdroj:	Brazilian journal of otorhinolaryngology [Braz J Otorhinolaryngol] 2021 Mar-Apr; Vol. 87 (2), pp. 205-209. Date of Electronic Publication: 2019 Oct 03.
DOI:	10.1016/j.bjorl.2019.08.004
Abstrakt:	Introduction: Thyroidectomy is the most common surgery in the cervical region. Currently, several techniques are available for intraoperative hemostasis. Objective: To compare the performance of three techniques (monopolar and bipolar electrical and ultrasonic) on operative time and postoperative complications. Methods: Patients submitted to total thyroidectomy without prior treatment were included in this prospective series study, using a scientific design. Results: A total of 834 patients were included; 661 women (79.3%) and 173 men (20.7%). The diagnosis was malignant neoplasia in 528 patients (63.3%) and benign disease in 306 patients (36.7%). The monopolar electric scalpel was used in 280 patients (33.6%), bipolar scalpel in 210 patients (25.2%) and ultrasonic scalpel in 344 patients (41.3%). The operative time was significantly shorter with the ultrasonic or bipolar scalpel when compared to the electric scalpel. In a linear regression model, gender, malignancy diagnosis and power energy type were significant for the procedure duration. Patients who underwent surgery with an ultrasound or bipolar scalpel had a significantly lower incidence of hypoparathyroidism. Conclusion: The use of ultrasonic or bipolar scalpel significantly reduces operative time and the incidence of transient hypoparathyroidism. (Copyright © 2019. Published by Elsevier Editora Ltda.)
Databáze:	MEDLINE
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