A Comparative Study Between Harmonic Scalpel and Classical Knot Tying in Total Thyroidectomy

Autor: Ali Ameen, Hussein Ahmed
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Kirkuk Journal of Medical Sciences, Vol 12, Iss 2, Pp 7-12 (2024)
Druh dokumentu: article
ISSN: 2790-0207
2790-0215
DOI: 10.32894/kjms.2024.145538.1085
Popis: Background: Total thyroidectomy is the most common endocrine surgery performed in hospitals worldwide. Thyroidgland is a highly vascularized structure and has a rich supply therefore; delicate techniques must be used in its excision.Classical techniques have been used for decades with adequate outcomes but have been associated with numerous dismalcomplications. The use of harmonic scalpel in thyroid surgery made a breakthrough by decreasing these complications.This study aims to compare two techniques (Harmonic scalpel vs. Classical techniques) by measuring the differences induration of operative time, amount of blood loss, and other inadvertent complications.Methods: This is a prospective observational cross-sectional study in which 80 patients were included and operatedon at Azadi Teaching Hospital, Kirkuk, Iraq. They were divided into two equal groups, group harmonic scalpel (40patients) that had total thyroidectomy by harmonic scalpel and group classical techniques (40 patients) that had totalthyroidectomy by classical techniques by means of electrocautery and knot-tying.Results: Harmonic scalpel group showed a significant reduction in operative time (p value = 0.004), amount of intra-operative blood loss (p value
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