Outcomes of Capsular Dissection Technique with Use of Bipolar Electrocautery in Total Thyroidectomy: A Rural Tertiary Center Experience
Introduction: Total thyroidectomy is one of the most routinely performed head and neck surgical procedures with extremely low mortality. This procedure has been associated with two major complications such as recurrent laryngeal nerve injury and hypocalcaemia due to parathyroid insufficiency. Th...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
JCDR Research and Publications Private Limited
2016-12-01
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| Series: | Journal of Clinical and Diagnostic Research |
| Subjects: | |
| Online Access: | https://jcdr.net/articles/PDF/8975/24201_CE[Ra1]_F(GH)_PF1(PI_RK)_PFA(AK)_PF2(PAG).pdf |
| Summary: | Introduction: Total thyroidectomy is one of the most routinely
performed head and neck surgical procedures with extremely
low mortality. This procedure has been associated with two
major complications such as recurrent laryngeal nerve injury
and hypocalcaemia due to parathyroid insufficiency. The use of
bipolar electrocautery has not been widely accepted in view of
thermal damage to adjacent structures.
Aim: To study the outcomes and complications of capsular
dissection technique along with use of bipolar electrocautery in
total thyroidectomy.
Materials and Methods: The study was conducted from May
2013 to May 2016. The study was performed at Department of ENT
Otorhinolayngology, DM WIMS Hospital, Wayanad, Kerala, India.
This retrospective descriptive study analysed the outcome of 130
patients who underwent total thyroidectomy by capsular dissection
technique along with use of bipolar electrocautery for cauterization
of vascular pedicles, at our institution over a 3 year period.
Results: The incidence of permanent unilateral vocal cord palsy
was 1.5% and permanent hypocalcaemia was 2.3%. There was
no case of haemorrhage or haematoma in this study.
Conclusion: Total thyroidectomy by capsular dissection
technique along with the use of bipolar electrocautery has very
low incidence of recurrent laryngeal nerve and parathyroid injury,
as per our data. Hence, we recommend this technique along with
routine use of bipolar electrocautery for total thyroidectomy. |
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| ISSN: | 2249-782X 0973-709X |