A comparison of total thyroidectomies carried out through LigaSure and Harmonic Scalpel: a retrospective study

Peker, Kemal; Özcan, Ayça Tuba Dumanlı; Şahin, Murat; Inal, Abdullah; Kılıç, Kemal; Özçıçek, Fatih

doi:10.3906/sag-1210-94

Cited by 5 publications

(10 citation statements)

References 28 publications

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“…The operative times of our three groups were longer than those of Peker et al. [12] study; Conventional Technique (CT), HS and LigaSure mean and SD were 92.92 ± 12.12, 60.13 ± 12.98 and 60.66 ± 11.90 respectively with P-value = 0.00. Peker et al.…”

Section: Discussioncontrasting

confidence: 58%

“…Regarding the hospital stay, the three groups; CSL, HS, MAX showed comparable hospital stays; mean ± SD 2.7 ± 0.6 day, 2.6 ± 1 day and 2.8 ± 0.7 day respectively with average of 2.8 ± 0.7 days with no statistically significant difference, P-value = 0.268, while Peker et al. [12] study showed comparable hospital stays in the three groups; CT, HS and LigaSure 1.7 ± 0.60 day,1.7 ± 0.65 day and 1.8 ± 0.78 day respectively with no statistically significant difference P-value = 0.315. Nadim Khan et al.…”

Section: Discussionmentioning

confidence: 81%

“…Peker et al. [12] study showed that the first 24 h postoperative drainage volumes; CT, HS and LigaSure; mean ± SD 48.18 ± 12.10, 47.45 ± 14.71 and 45.53 ± 10.87 respectively. These were much lower than ours because they were collected for the first 24 h. Statistically, there was no significant difference because P-value = 0.447.…”

Section: Discussionmentioning

confidence: 97%

“…Maxium is a diathermy system newly introduced as hemostatic system for both open and endoscopic surgical procedures that operates through permanently sealing vascular structures up to 7 mm in diameter [12] .…”

Section: Discussionmentioning

confidence: 99%

“…Hypoparathyroidism was known as a requirement for calcium or vitamin D administration. Regarding Recurrent Laryngeal Nerve (RLN) palsy, when there was no evidence of recovery within 6 months of follow up postoperatively, a permanent RLN palsy was recorded [12] .…”

Section: Methodsmentioning

confidence: 99%

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Total thyroidectomy: Conventional Suture Ligation technique versus sutureless techniques using Harmonic Scalpel or Maxium

Al-Dhahiry

Hameed

2016

Annals of Medicine &Amp; Surgery

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ObjectivesHarmonic Scalpel (HS) and Maxium (MAX) are surgical shears that enable simultaneous vessel sealing and tissue coagulation. This study compares the outcome of Total Thyroidectomy (TT) using Conventional Suture Ligation (CSL) technique versus (vs) two sutureless techniques; H S and MAX techniques in terms of safety, operative time, blood drainage volume, hospital stay and surgical complications.Study designThis is a prospective observational cohort study.SettingThis study was performed in AL-Karama Teaching Hospital/College of Medicine/University of Wasit/Iraq.Patients and methodsThis study was performed from June 2012 to 2015. A total of 80 patients, 60 patients were females and 20 patients were males (average/mean of age was 39/38 years). They underwent TT after been randomized into the following three groups: CSL group when Suture Ligation Technique was used, HS group when Harmonic Scalpel was used and MAX group when bipolar electrosurgery Maxium was used.ResultsThe postoperative evaluation of operative time, blood drainage volume and surgical complications revealed no statistically significant differences between HS group & MAX group, but there were statistically significant differences between CSL group vs. HS and MAX groups. Operative time statistics showed significant differences between CSL vs. HS and MAX groups, 113 ± 10.9 minutes (min), 93 ± 13 min and 92 ± 10.6 min respectively, p-value < 0.001 and 95% confidence interval [CI] (92.3712, 101.6288). The postoperative blood drainage volumes were significantly different between the three groups: CSL group = 150 ± 12.7 ml, HS group = 89 ± 16.21 ml and MAX group = 118 ± 9.6 ml, P-value = 0.046 and 95% [CI] (89.9932, 99.6068).ConclusionsHS and MAX are safe, effective, and time-saving techniques. They are also associated with low blood loss and low complication rates. HS and MAX are good alternative techniques to CSL for thyroid surgery.

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Section: Discussioncontrasting

confidence: 58%

Section: Discussionmentioning

confidence: 81%

Section: Discussionmentioning

confidence: 97%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

See 3 more Smart Citations

Total thyroidectomy: Conventional Suture Ligation technique versus sutureless techniques using Harmonic Scalpel or Maxium

Al-Dhahiry

Hameed

2016

Annals of Medicine &Amp; Surgery

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Effect of energy-based devices on post-operative parathyroid function and blood calcium levels after total thyroidectomy

Spartalis

Giannakodimos

Ziogou

et al. 2021

Expert Review of Medical Devices

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Comparing postoperative complication of LigaSure Small Jaw instrument with clamp and tie method in thyroidectomy patients: a randomized controlled trial [IRCT2014010516077N1]

et al. 2018

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BackgroundLigaSure® Small Jaw (LSJ) has been recently introduced as an energy-based vessel sealing device, which has provided better intraoperative and postoperative outcomes in thyroidectomies, compared to conventional technique. In the current study, we aimed to examine the efficiency of hand-sewn and LSJ thyroidectomy, based on operation time and perioperative complications.MethodsAll patients with the diagnosis of multinodular goiter, thyroid cancers, retrosternal goiter and other indications for thyroid surgeries, enrolled. Of 550 patients, 261 patients randomly assigned to the conventional group (A) and 274 patients to LigaSure Small Jaw group (B). Study groups compared concerning operative time, recurrent laryngeal nerve (RLN) injury, hypocalcemia, and postoperative complications.ResultsThere was no significant difference regarding demographic data between groups A and B. During total thyroidectomy, intraoperative blood loss was 64.42 ± 20.72 ml and 49.64 ± 17.92 ml in groups A and B, respectively (P 0.043). Operative time was significantly lower in LSJ group compared to the conventional group in total and subtotal thyroidectomy (P 0.002; P 0.001). Three patients who underwent conventional total thyroidectomy had RLN palsy. However, there was no significant difference between techniques regarding RLN injury (P 0.134).Postoperative total and ionized serum calcium levels decreased compared to preoperative levels in both conventional and LSJ technique; however, changes in total and ionized serum calcium were more severe in patients with conventional thyroidectomy (total calcium, P < 0.0001) (ionized calcium, P 0.005).ConclusionThe LigaSure Small Jaw device decreases operative time and intraoperative bleeding compared to conventional technique. Besides, changes in total and ionized calcium levels in patients with LSJ thyroidectomy are subtle compared to HS technique.Trial registrationRegistered in Iranian Registry of Clinical Trials (www.irct.com), trial registration: IRCT2014010516077N1, Registered: 23 May 2014).

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A comparison of total thyroidectomies carried out through LigaSure and Harmonic Scalpel: a retrospective study

Cited by 5 publications

References 28 publications

Total thyroidectomy: Conventional Suture Ligation technique versus sutureless techniques using Harmonic Scalpel or Maxium

Total thyroidectomy: Conventional Suture Ligation technique versus sutureless techniques using Harmonic Scalpel or Maxium

Effect of energy-based devices on post-operative parathyroid function and blood calcium levels after total thyroidectomy

Comparing postoperative complication of LigaSure Small Jaw instrument with clamp and tie method in thyroidectomy patients: a randomized controlled trial [IRCT2014010516077N1]

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