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Impact of the harmonic scalpel hemostasis in total thyroidectomy in comparison with conventional hemostatic technique
Joint Authors
Kazim, Sadiq Ghalib
Balasim, Rahim Sharhan
Source
Issue
Vol. 22, Issue 2 (31 Dec. 2016), pp.63-68, 6 p.
Publisher
University of Basrah College of Medicine
Publication Date
2016-12-31
Country of Publication
Iraq
No. of Pages
6
Main Subjects
Abstract EN
Traditional haemostatic technique in thyroidectomy may cause some damages to surrounding tissues and it is time consuming.
It is believed that these damages and the time can be reduced using ultrasonic dissector devices like Harmonic Scalpel.
In this study, we investigate the benefits of harmonic Scalpel haemostasis (HS) versus conventional haemostatic techniques (CT) in total thyroidectomy.
Analysis of patient’s data was done for cases with total thyroidectomies performed between 2011and 2015 by the same surgeons using either the conventional technique (Clamp and Tie technique) or the harmonic scalpel for haemostasis.
Gender, age, preoperative clinical information, histopathology results,and procedure type were analyzed.
and according to the type of haemostatic techniques the collected patient’s data was divided in to two groups; conventional group (CT group) in which the haemostasis was done with Clamp and Tie technique and harmonic scalpel group (HS group) in which the haemostasis was done with Harmonic Scalpel (Sonicbeat Olympus).
The outcome and the complications of the both procedures were analyzed statistically and compared.
The use of harmonic scalpel in total thyroidectomy significantly decreases mean operative time by (-37.635 min) 60.49±7.78 SD for HS group vs 98.13±14.165 SD for CT group with very significant P-value (0.0000).
Statistical significant difference in the mean volume of postoperative drainage in (ml) through redivac drain observed between the two groups; 63.02±19.91SD for HS group and 72.50±22.79 SD for CT group with significant P-value (0.0000).
There were no significant difference in the other parameters of the outcome and complications after total thyroidectomy in both groups.
It is concluded from this study that main impact of harmonic scalpel in total thyroidectomy is the significant reduction in operative time and its use is safe and not associated with increase in the rate of the complications
American Psychological Association (APA)
Kazim, Sadiq Ghalib& Balasim, Rahim Sharhan. 2016. Impact of the harmonic scalpel hemostasis in total thyroidectomy in comparison with conventional hemostatic technique. Basrah Journal of Surgery،Vol. 22, no. 2, pp.63-68.
https://search.emarefa.net/detail/BIM-771432
Modern Language Association (MLA)
Kazim, Sadiq Ghalib& Balasim, Rahim Sharhan. Impact of the harmonic scalpel hemostasis in total thyroidectomy in comparison with conventional hemostatic technique. Basrah Journal of Surgery Vol. 22, no. 2 (Dec. 2016), pp.63-68.
https://search.emarefa.net/detail/BIM-771432
American Medical Association (AMA)
Kazim, Sadiq Ghalib& Balasim, Rahim Sharhan. Impact of the harmonic scalpel hemostasis in total thyroidectomy in comparison with conventional hemostatic technique. Basrah Journal of Surgery. 2016. Vol. 22, no. 2, pp.63-68.
https://search.emarefa.net/detail/BIM-771432
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 68
Record ID
BIM-771432