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Sutureless focus harmonic thyroidectomy versus conventional clamping and knot tying technique
Joint Authors
Muhammad, Mansur Amin
Nuri, Ibrahim Falih
Source
Issue
Vol. 15, Issue 4 (31 Dec. 2018), pp.300-305, 6 p.
Publisher
University of Babylon College of Medicine
Publication Date
2018-12-31
Country of Publication
Iraq
No. of Pages
6
Main Subjects
Abstract EN
Background: Thyroidectomy is the most frequent procedure in endocrine surgery.
Since thyroid is the highly vascular organ, therefore, prompt and meticulous hemostasis is extremely important.
Although conventional thyroidectomy is used frequently with acceptable outcomes, it is timeconsuming and resulted in significant intraoperative blood loss with possible risk of injury to parathyroid glands and laryngeal nerves.
The advent of ultrasonically activated focus harmonic device in thyroid surgery was encouraging for improving safety, effectiveness, and reduction of operative time.
Aim of this Study: The purpose of this study was to analyze the effectiveness and surgical outcomes of using ultrasonic harmonic scalpel for thyroid surgery compared to conventional techniques (clamping and suture ligation (knots tying) and electrocautery.
Patients and Methods: This is a prospective, randomized study in which 64 patients with various types of goiters presented for thyroidectomy.
The patients were divided into two comparable groups.
Group A (32 patients) included patients who had focus harmonic thyroidectomy and Group B (32 patients) included patients who received conventional thyroidectomy.
Results: Focus harmonic thyroidectomy showed significant reduction in operative time, intraoperative blood loss, volume of postoperative fluid drainage, and postoperative pain scores compared with conventional thyroidectomy.
There were no significant differences in the incidence of postoperative hypocalcemia and laryngeal nerve injury between both the groups.
The total cost of focus harmonic thyroidectomy and hospital stay were also less compared with conventional techniques.
Conclusions: Focus harmonic thyroidectomy was a safe, effective, faster, and beneficial alternative to conventional technique since it reduces the time of surgery, blood loss, postoperative drainage, and pain with comparable postoperative complications
American Psychological Association (APA)
Nuri, Ibrahim Falih& Muhammad, Mansur Amin. 2018. Sutureless focus harmonic thyroidectomy versus conventional clamping and knot tying technique. Medical Journal of Babylon،Vol. 15, no. 4, pp.300-305.
https://search.emarefa.net/detail/BIM-902631
Modern Language Association (MLA)
Nuri, Ibrahim Falih& Muhammad, Mansur Amin. Sutureless focus harmonic thyroidectomy versus conventional clamping and knot tying technique. Medical Journal of Babylon Vol. 15, no. 4 (Oct. / Dec. 2018), pp.300-305.
https://search.emarefa.net/detail/BIM-902631
American Medical Association (AMA)
Nuri, Ibrahim Falih& Muhammad, Mansur Amin. Sutureless focus harmonic thyroidectomy versus conventional clamping and knot tying technique. Medical Journal of Babylon. 2018. Vol. 15, no. 4, pp.300-305.
https://search.emarefa.net/detail/BIM-902631
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 304-305
Record ID
BIM-902631