Parathyroid hormone level after total thyroidectomy using conventional versus harmonic focus technique: Prospective randomized study.

Autor:	Elhady HA; Department of Surgery, College of Medicine for Girls, Al-Azhar University, Egypt., Abd Elghany RAE; Department of Surgery, College of Medicine for Girls, Al-Azhar University, Egypt., Zarad MS; Department of Surgery, College of Medicine for Girls, Al-Azhar University, Egypt.
Jazyk:	angličtina
Zdroj:	Annals of medicine and surgery (2012) [Ann Med Surg (Lond)] 2021 Dec 14; Vol. 73, pp. 103176. Date of Electronic Publication: 2021 Dec 14 (Print Publication: 2022).
DOI:	10.1016/j.amsu.2021.103176
Abstrakt:	Background: Total thyroidectomy is a common procedure, we wish to examine the effects of utilizing a harmonic scalpel with traditional procedures on parathyroid hormone levels. Patients and Methods: 100 patients who underwent total thyroidectomy at the Department of General Surgery, were enrolled in this prospective randomized study, were randomly allocated into two equal groups: Group I: total thyroidectomy using a harmonic scalpel (HS) and Group II: total thyroidectomy using conventional technique. Results: There is a significant association between the technique of surgery and the decrease in Postoperative PTH, Mean Difference, Pre and Postoperative and the change Pre PTH (p-value <0.001). Conclusion: The postoperative serum level of parathyroid hormone declined significantly after thyroidectomy if the conventional method was used. Using HS during thyroidectomy is safe and effective with low rates of hypoparathyroidism. Competing Interests: The authors declare there is no conflict of interest to be declared. (© 2021 The Authors.)
Databáze:	MEDLINE
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