Comparative analysis between a bipolar vessel sealing and cutting device and the tie and suture technique in thyroidectomy: A randomized clinical trial

Chávez, Karla Verónica; Barajas, Elpidio M.; Ramírez, Jaqueline; Pantoja, Juan Pablo; Sierra, Mauricio; Velázquez-Fernández, David; Herrera, Miguel F.

doi:10.1016/j.surg.2016.07.036

Cited by 11 publications

(8 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A conflicting result was described regarding the association between POH and disease pathology 4 – 13 . It could be explained by a range of different surgical procedures and various disease categories, including Graves’ disease.…”

Section: Discussionmentioning

confidence: 99%

“…Therefore, patients undergoing thyroidectomy need close postoperative monitoring for any signs of bleeding. Various studies have reported the incidence of POH, which ranges from 0 to 4.2% 4 – 13 . Three categories of risk, namely, surgical technique, patient predisposition, and thyroid pathology, are responsible.…”

Section: Introductionmentioning

confidence: 99%

“… 13 notes an interesting finding that in a thyroid operation, compared to the traditional tie and suture technique, the use of an advanced bipolar device reduces the operation time with a similar postoperative outcome profile. All of these studies used a range of different surgical procedures, including partial thyroidectomy, unilateral lobectomy and subtotal thyroidectomy, but few authors have focused on the association between POH and total thyroidectomy 4 – 13 . Therefore, in this study, we analysed POH after a total thyroidectomy and explored the possible risk factors.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Risk factors for postoperative haemorrhage after total thyroidectomy: clinical results based on 2,678 patients

Zhang

Fang

2017

Sci Rep

View full text Add to dashboard Cite

The aim of this study was to analyse postoperative haemorrhage (POH) after a total thyroidectomy and explore the possible risk factors. Records of patients receiving a total thyroidectomy were reviewed and analysed for risk factors of POH. From the 2,678 patients in this study, a total of 39 patients had POH, representing an incidence of 1.5%. The majority (59.0%) of POH events occurred within four hours after surgery. Arterial haemorrhage was the primary cause of POH and was identifiable prior to venous bleeding, making it the first sign of POH. A univariate analysis revealed an association between POH, certain disease factors and BMI, but only a BMI greater than 30 was found to significantly increase the risk of POH (almost 6-fold). At the first sign of POH, all patients showed an obvious red drainage, and 92.3% of the patients had neck swelling. In summary, arterial bleeding is the main cause and first sign of postoperative haemorrhage, as it starts earlier than venous bleeding. A BMI greater than 30 significantly increases the risk of neck haematoma.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Risk factors for postoperative haemorrhage after total thyroidectomy: clinical results based on 2,678 patients

Zhang

Fang

2017

Sci Rep

View full text Add to dashboard Cite

show abstract

“…The previous version of Enseal has proven to be useful for sealing and transection in a wide variety of procedures and vessel types including thyroidectomy [2], pulmonary artery [3], colorectal [4], hysterectomy [5], and appendectomy [6]. However, feedback from surgeons revealed that design changes could be made to improve the ergonomics and usability of the device.…”

Section: Discussionmentioning

confidence: 99%

A Novel Advanced Bipolar Tissue Sealer Provides Improved Hemostasis and Less Thermal Damage

Mootoo¹,

Cummings²,

Paulin-Curlee³

et al. 2017

Glob Surg

View full text Add to dashboard Cite

show abstract

“…Thyroidectomy is, in essence, devascularization of thyroid by double ligation and dividing the branches of thyroid vessels followed by excision of the gland, and done when a patient is suffering from thyroid cancer, goiter or hyperthyroidism , the endocrine surgeons often perform the procedure of thyroidectomy. Since time spent in the operative room is expensive, this will reduce both time and cost of operation [6] . From the experience, we can conclude that during thyroid surgery, the use of harmonic scalpel reduce the time duration much more, and also report initial case controlled study results by comparing the use of conventional suture tying to the harmonic scalpel in patient undergone by total thyroidectomy or lobectomy [7] .…”

mentioning

confidence: 99%

Comparison between conventional and harmonic techniques in bleeding control during Thyroidectomy

2019

JMPB

View full text Add to dashboard Cite

Objective: The basic aim of this study is to find out comparison between conventional and harmonic techniques in bleeding control during Thyroidectomy.Methodology: This randomized control trial was conducted in Surgery Department, Bahawal Victoria Hospital Bahawalpur. This study was completed in 5 months (August 2018 to January 2019) and all the patients under trial were asked for informed consent. A total number of 100% (n=62) were taken in this trial and online source Openepi.com was used for calculating sample size. Patients were selected by lottery method. Computer software SPSS version 23.2 was used for complete data entry and analysis. All the descriptive variables like onset of action and age were presented as SD and mean. Statistical test ANOVA was applied to find the significance among all groups. Chi square test was applied for analysis of continuous stats among groups. P value 0.05 was to be considered as significant.Result: A total number of 100% (n=62) patients were included, divided into two equal groups, 31 in each i.e. harmonic scalpel and conventional knot groups. The mean age of the patients, in harmonic scalpel group, was 45.29±4.56 years. There were 64.5% (n=20) males and 35.5% (n=11) females. The mean age of the patients, in conventional knot, was 44.96±2.97 years. There were 74.2% (n=23) males and 25.8% (n=8) females. No significant difference was found for age (t=0.329, p=0.743) and gender (χ 2 =0.683, p=0.409) in groups. The main outcome variables of this study were the time of procedure (minutes) and blood loss volume (ml). The mean time of procedure was 98.80±16.52minutes and 119.81±9.95 minutes for the harmonic scalpel and conventional knot groups respectively. Significant difference was found for the time of procedure in groups (t=-6.060, p-value = 0.000). Conclusion:The whole study can be ended with this conclusion that the harmonic scalpel is more effective than the conventional method of ligation or knotting in thyroidectomy. Its use offer many clinical benefits including reduction in time of surgery and blood volume as well. Introduction:The description about the thyroid gland is very prehistoric' for the first time it was name as "shield shape gland" by the Romans [1] . In the literature during 12 th or 13 th century not only the thyroid masses were mentioned but in 1170 Robert Frugard explained the complication of goiter. Thyroid surgery was begun in 12 th century by using hot iron, Setons and caustics powers (most results were fatal).At that time, the major advancement was, antisepsis, artery forceps and anesthesia to be practice [2] .The pioneers of thyroid surgery, Theodor Koches and Theodor Billroth, formulated many acceptable techniques of thyroid surgery between the year 1873 and 1883 [3] . In conventional method knot tying and ligation were important process. The very important thing of this operation is that the thyroid gland is one of the highly vascularized among all the organs having rich blood vessels and plexuses present in the parenchyma. This needs to be controlle...

show abstract

Comparative analysis between a bipolar vessel sealing and cutting device and the tie and suture technique in thyroidectomy: A randomized clinical trial

Cited by 11 publications

References 25 publications

Risk factors for postoperative haemorrhage after total thyroidectomy: clinical results based on 2,678 patients

Risk factors for postoperative haemorrhage after total thyroidectomy: clinical results based on 2,678 patients

A Novel Advanced Bipolar Tissue Sealer Provides Improved Hemostasis and Less Thermal Damage

Comparison between conventional and harmonic techniques in bleeding control during Thyroidectomy

Contact Info

Product

Resources

About