Blood transfusion, antibiotics use, and surgery outcome in thyroid surgery: Experience from a suburban center in Nigeria

Kpolugbo, J; Uhumwangho, Odarosa M; Obasikene, G; Alili, Ugochukwu

doi:10.4103/1119-3077.104525

Cited by 7 publications

(11 citation statements)

References 12 publications

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“…When it was soaked by 50 % the means that it contains about 25 ml of blood and if totally soaked; 100% this means that it contains 75 ml of blood [16]. Many researchers reported significant reduction of intra-operative blood loss by the use of ligasure system in total thyroidectomy when compared with the conventional sutureligation technique [6,17,18,19] and our data came in agreement with those reported results. The ligasure vessel sealing system can apply control, sealing vessels up to 7 mm in diameter and facilitates surgery by achieving the efficient haemostasis of blood vessels encountered during dissection, and allowing the rapid and secure division of vascularised tissues, while minimizing thermal injury to adjacent tissues [20].…”

Section: Discussionsupporting

confidence: 90%

Use of Ligasure Sealing Versus Conventional Suture - Ligation in Total Thyroidectomy

AlJuraibi¹

2016

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Introduction:Effective vessel haemostasis can be achieved by suture knot tying technique or newer techniques of vessel haemostasis like ligasure as an alternative bipolar surgical diathermy system. Various diathermy techniques have been proposed to reduce intraoperative blood loss in surgery and the new electrothermal bipolar tissue sealing system (Ligasure) has been applied in various specialties of surgery. The objective of this randomized study was to compare the outcome of ligasure versus conventional clamping and tie in total thyroidectomy for benign thyroid diseases. Patients and Methods: A total of 200 patients diagnosed to have bilateral BMNG were subjected to primary total thyroidectomy and divided into two main groups Ligasure (L) and Suture-Ligation (SL). For detection of laryngeal nerves status, vocal cords were checked immediately postoperatively by laryngoscope and at the day 10 of postoperative period to assess the status of both laryngeal nerves. The function of the parathyroids was checked by detecting the serum calcium concentration and parathyroid hormone level. The following parameters were measured to compare the effect of ligasure versus conventional suture-ligation technique in decreasing the operative blood loss, operative time, securing laryngeal nerves and parathyroids, postoperative drainage and postoperative wound infection. Results: There was no statistical difference between the two groups regarding age, sex and body mass index and also there was no operative mortality. As regard the operative time, in ligasure group it was 115.54±15.35 minutes while in suture-ligation group was 127.1±7.95 minutes and intraoperative blood loss in group A was 62.06± 7.34 and in group B was 75.84± 9.21. Temporary RLN injury was detected in 3 patients (3%) in group A and in 5 patients in group B (5%). No permanent hypoparathyroidism was seen in group A patients but in one patient (1%) of group B, transient hypoparathyroidism occurred in 2 patients (2%) of both groups. The amount of fluid drained in group A was 54.16±9.21 and 66.28±8.99 in group B. Conclusion: The use of the Ligasure sealing system in total thyroidectomy is proved safe and effective in reducing the operative time, intraoperative blood loss together with reduction in postoperative fluid drainage. Owing to the ability to reduce energy spread profile, use of Ligasure sealing system is accompanied with better outcome regarding the function of laryngeal nerves and parathyroids.

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Section: Discussionsupporting

confidence: 90%

Use of Ligasure Sealing Versus Conventional Suture - Ligation in Total Thyroidectomy

AlJuraibi¹

2016

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“…Those who were not having drain could be discharged at unnecessary which is in accord with another study 25 .…”

Section: Discussionsupporting

confidence: 71%

Comparison of surgical outcomes of Ultrasonic technique (Harmonic Focus™) with Conventional technique in open hemithyroidectomy

Regmi

Bista

et al. 2014

J. Kathmandu Med. Coll.

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Background: The option for dissection and haemostasis during thyroid surgery include either the modern ultrasonic technology (Harmonic Focus™) or the conventional technique using knot and ties, monopolar or bipolar electrocautery. Comparison between the surgical outcomes of open hemithyroidectomy using these two modalities was done.Objective: To compare the surgical outcomes of ultrasonic technique using Harmonic Focus™ (HS) with Conventional technique (CT) in open hemithyoidectomy.Method: Twenty consecutive patients undergoing open hemithyroidectomy for benign solitary thyroid nodule of ≤ 3 cm were randomly assigned into two groups; group HS (n=10) and group CT (n=10). Analysis of surgical outcomes performed by these two techniques, particularly: operative time, intra-operative blood loss, post operative pain, incision size, complications and hospital stay were done.Results: The age, sex and pathologies were comparable in both the groups. For the group HS, mean operative time was (mean ± SD=55 ± 5 min) 15 minutes shorter than group CT (mean ± SD= 70 ± 10 min) (P<0.01). Mean operative blood loss was (mean ± SD=20 ±10 ml) 16 ml less in group HS than CT (mean ± SD= 36 ±12 ml) (P<0.01). The group HS experienced less post operative pain (mean ± SD=4 ± 0.94 VAS) than CT (mean ± SD= 7 ± 0.81 VAS) (P<0.001). The incision size at the time of skin closure was 1.6 cm shorter in group HS ((mean ± SD= 3.95 ±0.61 vs. 5.5 ± 0.78cm) (P<0.01). Hospital stay (mean ± SD= 2.30 ± 0.48 vs. 4.20 ±0.42 days) was statistically significant (P<0.01) in group HS than CT. There were no major complications.Conclusion: In patients undergoing open hemithyroidectomy, HS is a faster, better cosmetic, safe and less morbid tool than CT. Its use reduces operative time, blood loss, post operative pain, scar size, along with hospital stay.DOI: http://dx.doi.org/10.3126/jkmc.v2i4.11774 Journal of Kathmandu Medical CollegeVol. 2, No. 4, Issue 6, Oct.-Dec., 2013Page: 175-180

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“…20 Many researchers reported a significant reduction of intraoperative blood loss by the use of suture less techniques in total thyroidectomy when compared with the conventional suture ligation technique and study data came in agreement with those reported results. [21][22][23] Al Juraibi et al also reported that the amount of intraoperative blood loss was 50-75 ml in sutureless group (mean 62.06±7.34) and 60-90 in the conventional group (mean 75.84±9.21). 24 Also, Noori et al reported in his study that the intraoperative blood loss measured by weighing the blood-soaked gauze and by calculating the intraoperative drain was also significantly less in the harmonic group than in conventional group (12±4 ml vs 28±9 ml, p<0.01).…”

Section: Discussionmentioning

confidence: 93%

A comparative study between harmonic scalpel hemostasis and conventional hemostasis in total thyroidectomy

Sherpiny

2020

Int Surg J

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Background: Thyroidectomy is the most commonly performed procedure in endocrine surgery. Since the thyroid gland is highly vascular, therefore, rapid and absolute hemostasis is extremely required. Conventional thyroidectomy is commonly used with acceptable outcomes, however, it is time‑consuming and resulted in significant intraoperative blood loss with the possible risk of postoperative hemorrhage, injury to parathyroid glands and laryngeal nerves. The advent of focus harmonic devices was encouraging for improving safety, effectiveness, and reduction of operative time, especially in thyroid surgery. 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.Methods: This was a prospective, randomized study in which 60 patients with various types of goiters presented for thyroidectomy. The patients were divided into two comparable groups. Group A (30 patients) included patients who had focus harmonic thyroidectomy and Group B (30 patients) included patients who underwent conventional thyroidectomy.Results: Focus harmonic thyroidectomy showed a significant reduction in operative time, intraoperative blood loss, volume of postoperative fluid drainage and meantime for hospital stay compared with conventional thyroidectomy. There were no significant differences in the incidence of postoperative hypocalcemia, seroma, hematoma, wound infection and laryngeal nerve injury between both groups.Conclusions: Focus harmonic thyroidectomy was a safe, effective, faster, and appealing alternative to conventional technique since it reduced the operative time, intraoperative blood loss, postoperative drainage and hospital stay with comparable postoperative complications.

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Blood transfusion, antibiotics use, and surgery outcome in thyroid surgery: Experience from a suburban center in Nigeria

Cited by 7 publications

References 12 publications

Use of Ligasure Sealing Versus Conventional Suture - Ligation in Total Thyroidectomy

Use of Ligasure Sealing Versus Conventional Suture - Ligation in Total Thyroidectomy

Comparison of surgical outcomes of Ultrasonic technique (Harmonic Focus™) with Conventional technique in open hemithyroidectomy

A comparative study between harmonic scalpel hemostasis and conventional hemostasis in total thyroidectomy

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