HARMONIC SCALPEL COMPARED TO BIPOLAR COAGULATION FOR THYROIDECTOMY
Introduction. The basic principles of high-efficient and safe thyroid surgery were established by 1920: identification and ligation of vessels, identification and preservation of laryngeal nerves, and parathyroid glands. Bleeding remains one of the major intraoperative complications of thyroid surge...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
State Institution of Science «Research and Practical Center of Preventive and Clinical Medicine» State Administrative Department
2023-12-01
|
| Series: | Клінічна та профілактична медицина |
| Subjects: | |
| Online Access: | https://cp-medical.com/index.php/journal/article/view/322 |
| _version_ | 1797385616161243136 |
|---|---|
| author | Vasyl R. Antoniv Oleg V. Shulyarenko Taras M. Galyga Larysa V. Shulyarenko Vladyslav M. Perepadia |
| author_facet | Vasyl R. Antoniv Oleg V. Shulyarenko Taras M. Galyga Larysa V. Shulyarenko Vladyslav M. Perepadia |
| author_sort | Vasyl R. Antoniv |
| collection | DOAJ |
| description | Introduction. The basic principles of high-efficient and safe thyroid surgery were established by 1920: identification and ligation of vessels, identification and preservation of laryngeal nerves, and parathyroid glands. Bleeding remains one of the major intraoperative complications of thyroid surgery.
The aim of this study is to evaluate the benefits of the Harmonic when compared with bipolar coagulation for open thyroidectomy.
Materials and methods: We enrolled 85 patients who underwent total thyroidectomy for multinodular disease from 2019 till 2022 years. Patients were randomly assigned to either the group 1 (43 patients in which the operation was performed entirely using the Harmonic scalpel (HS) and no other haemostatic tool) or the group 2 (42 patients in which the operation was performed using classic technique of resorbable ligature, bipolar coagulation). The inclusion criteria were scheduled total thyroidectomy for multinodular goiter.
Results. There were no significant differences between two groups regarding age, gender, ASA distribution, so two groups are comparable. The mean operating time in the group 1 was 62.84±0.66 (M±m) minutes, and that in the group 2 was 75.19±0.42 (M±m) minutes for thyroidectomy, and there was 19.65% (i.e. 12.35 minutes) statistically significant reduction in the operating time using the Harmonic scalpel device (p<0.05). The 48 hours mean total amount of drainage was 69.05±0.88 (M±m) ml for group 1 and 81.40±0.64 (M±m) ml for group 2, which was statistically significant (p<0.05). The rate of postoperative complications was comparable among the two groups (pχ2>0,05).
Conclusions. The use of Harmonic scalpel in thyroid surgery is safe and effective and is associated with a significant reduction in operative time without increasing complications rate, may also permit a better view of structures to preserve nerves, vessels of parathyroid glands and parathyroid glands when operating. Other benefits include significantly lower blood loss, efficient hemostasis and sectioning in a single instrument. |
| first_indexed | 2024-03-08T21:56:44Z |
| format | Article |
| id | doaj.art-2e825fee11d7445393300016b58790f6 |
| institution | Directory Open Access Journal |
| issn | 2616-4868 |
| language | English |
| last_indexed | 2024-03-08T21:56:44Z |
| publishDate | 2023-12-01 |
| publisher | State Institution of Science «Research and Practical Center of Preventive and Clinical Medicine» State Administrative Department |
| record_format | Article |
| series | Клінічна та профілактична медицина |
| spelling | doaj.art-2e825fee11d7445393300016b58790f62023-12-19T18:59:52ZengState Institution of Science «Research and Practical Center of Preventive and Clinical Medicine» State Administrative DepartmentКлінічна та профілактична медицина2616-48682023-12-016323610.31612/2616-4868.6.2023.03322HARMONIC SCALPEL COMPARED TO BIPOLAR COAGULATION FOR THYROIDECTOMYVasyl R. Antoniv0Oleg V. Shulyarenko1Taras M. Galyga2Larysa V. Shulyarenko3Vladyslav M. Perepadia4Bogomolets National Medical University, Kyiv, UkraineBogomolets National Medical University, Kyiv, UkraineBogomolets National Medical University, Kyiv, UkraineBogomolets National Medical University, Kyiv, UkraineBogomolets National Medical University, Kyiv, UkraineIntroduction. The basic principles of high-efficient and safe thyroid surgery were established by 1920: identification and ligation of vessels, identification and preservation of laryngeal nerves, and parathyroid glands. Bleeding remains one of the major intraoperative complications of thyroid surgery. The aim of this study is to evaluate the benefits of the Harmonic when compared with bipolar coagulation for open thyroidectomy. Materials and methods: We enrolled 85 patients who underwent total thyroidectomy for multinodular disease from 2019 till 2022 years. Patients were randomly assigned to either the group 1 (43 patients in which the operation was performed entirely using the Harmonic scalpel (HS) and no other haemostatic tool) or the group 2 (42 patients in which the operation was performed using classic technique of resorbable ligature, bipolar coagulation). The inclusion criteria were scheduled total thyroidectomy for multinodular goiter. Results. There were no significant differences between two groups regarding age, gender, ASA distribution, so two groups are comparable. The mean operating time in the group 1 was 62.84±0.66 (M±m) minutes, and that in the group 2 was 75.19±0.42 (M±m) minutes for thyroidectomy, and there was 19.65% (i.e. 12.35 minutes) statistically significant reduction in the operating time using the Harmonic scalpel device (p<0.05). The 48 hours mean total amount of drainage was 69.05±0.88 (M±m) ml for group 1 and 81.40±0.64 (M±m) ml for group 2, which was statistically significant (p<0.05). The rate of postoperative complications was comparable among the two groups (pχ2>0,05). Conclusions. The use of Harmonic scalpel in thyroid surgery is safe and effective and is associated with a significant reduction in operative time without increasing complications rate, may also permit a better view of structures to preserve nerves, vessels of parathyroid glands and parathyroid glands when operating. Other benefits include significantly lower blood loss, efficient hemostasis and sectioning in a single instrument.https://cp-medical.com/index.php/journal/article/view/322harmonic scalpelbipolar coagulationthyroidectomysurgery |
| spellingShingle | Vasyl R. Antoniv Oleg V. Shulyarenko Taras M. Galyga Larysa V. Shulyarenko Vladyslav M. Perepadia HARMONIC SCALPEL COMPARED TO BIPOLAR COAGULATION FOR THYROIDECTOMY Клінічна та профілактична медицина harmonic scalpel bipolar coagulation thyroidectomy surgery |
| title | HARMONIC SCALPEL COMPARED TO BIPOLAR COAGULATION FOR THYROIDECTOMY |
| title_full | HARMONIC SCALPEL COMPARED TO BIPOLAR COAGULATION FOR THYROIDECTOMY |
| title_fullStr | HARMONIC SCALPEL COMPARED TO BIPOLAR COAGULATION FOR THYROIDECTOMY |
| title_full_unstemmed | HARMONIC SCALPEL COMPARED TO BIPOLAR COAGULATION FOR THYROIDECTOMY |
| title_short | HARMONIC SCALPEL COMPARED TO BIPOLAR COAGULATION FOR THYROIDECTOMY |
| title_sort | harmonic scalpel compared to bipolar coagulation for thyroidectomy |
| topic | harmonic scalpel bipolar coagulation thyroidectomy surgery |
| url | https://cp-medical.com/index.php/journal/article/view/322 |
| work_keys_str_mv | AT vasylrantoniv harmonicscalpelcomparedtobipolarcoagulationforthyroidectomy AT olegvshulyarenko harmonicscalpelcomparedtobipolarcoagulationforthyroidectomy AT tarasmgalyga harmonicscalpelcomparedtobipolarcoagulationforthyroidectomy AT larysavshulyarenko harmonicscalpelcomparedtobipolarcoagulationforthyroidectomy AT vladyslavmperepadia harmonicscalpelcomparedtobipolarcoagulationforthyroidectomy |