ENERgized vessel sealing systems versus CONventional hemostasis techniques in thyroid surgery—the ENERCON systematic review and network meta-analysis

Contin, Pietro; Gooßen, Käthe; Grummich, Kathrin; Jensen, Katrin; Schmitz‐Winnenthal, Hubertus; Büchler, Markus W.; Diener, Markus K.

doi:10.1007/s00423-013-1137-7

Cited by 56 publications

(68 citation statements)

References 50 publications

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“…Many studies in the literature have compared these two techniques, and no superiority has been detected in terms of efficiency. However, some studies indicated superiority of vessel sealing systems in terms of operation time as compared to conventional hemostasis techniques in thyroid surgery, with no detriment to safety outcomes (18). Sutures with a low risk for reaction and especially absorbable sutures should be preferred especially for upper pole ligation, as in our practice.…”

Section: Discussionmentioning

confidence: 99%

A complication of thyroidectomy: Do not forget suture reaction

et al. 2017

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Objective: In this study, we aimed to present patients who have developed suture reaction and were treated in our clinic following thyroidectomy operation. Material and Methods:Patients who had been treated for suture reaction following thyroidectomy between January 2012 and December 2014 were retrospectively evaluated. The patients were analyzed in terms of their age, gender, duration of the symptoms, type of previous operation and treatment modality. Results:Between January 2012 and December 2014, 559 thyroid/parathyroid operations were performed in our clinic. A total of 12 patients were admitted with suture reaction within this period thus yielding a suture reaction incidence of 2.1%. The mean age of these patients was 42±7.65 years, 75% of them were female while 25% of them were male. The types of previous operations were bilateral total thyroidectomy in 83.3%, lobectomy in 8.3% and near total thyroidectomy in 8.3% of the patients. The mean symptom duration was 7.2±4.3 (2-16) months. Two patients (16.7%) underwent a second surgical operation for suture reaction, while 10 patients (83.3%) were treated conservatively. None of the patients developed complications. Conclusion:One of the most common complications that develop after thyroidectomy is bleeding. Ligation must be performed in order to prevent this complication. As it is known, surgical ligation with sutures may cause tissue reaction. Sutures that are absorbable and have a low risk for reaction formation should be chosen if suturing is preferred.

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Section: Discussionmentioning

confidence: 99%

A complication of thyroidectomy: Do not forget suture reaction

et al. 2017

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“…The Harmonic FOCUS ® (HF; Ethicon Endo-Surgery, Inc.) comprises a range of ultrasonic surgical devices that enable simultaneous dissection and coagulation of tissue (2). Ultrasonic waves are created by electromagnetic energy from a generator, which undergoes piezoelectric transduction within the hand piece.…”

Section: Introductionmentioning

confidence: 99%

Comparison of surgical outcomes and complications between the Harmonic FOCUS and conventional surgery for open thyroidectomy

et al. 2018

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Abstract. The aim of the present study was to evaluate the potential advantages of the ultrasonic scalpel compared with the conventional technique in thyroid surgery. Patients with resectable thyroid cancer and Basedow's disease were assigned to ultrasonic scalpel or conventional technique (knot-tying and electrocoagulation). The present study used the Harmonic FOCUS ® (HF) as an ultrasonic scalpel. Between February 2013 and May 2016, 45 patients were enrolled into the study. Duration of the surgery was significantly decreased in the HF group compared with the conventional surgery (CS) group (median 142 vs. 151 min; P=0.0406). Intraoperative blood loss and total volume of drainage fluid were significantly decreased in the HF group compared with the CS group (median 40 vs. 125 ml; P=0.0054, and median 120 vs. 175.5 ml; P=0.0490). Duration of drain placement and length of hospitalization stay were similar in the two groups. Furthermore, the overall incidence of postoperative complications did not differ between the two groups. Overall, the present study suggests that open thyroidectomy using the HF is safe and effective and not associated with any increase in complications.

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“…Energy based devices (EBD) have been developed, implemented and increasingly applied in thyroid surgery because they can provide a combined dissection and haemostatic effect (6,7). In particular, advantages of EBD have been described in terms of efficacious haemostasis, reduction of procedure-associated time, reduced incision length, less operative blood loss and transfusion need, decreased postoperative drain, pain and hospital stay (6)(7)(8)(9)(10).…”

Section: Introductionmentioning

confidence: 99%

Safety of energy based devices for hemostasis in thyroid surgery

Dionigi¹,

Wu²,

Kim³

et al. 2016

Gland Surg.

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Energy based devices (EBD) have been developed, implemented and increasingly applied in thyroid surgery because they can provide a combined dissection and haemostatic effect. In particular, advantages of EBD have been described in terms of efficacious haemostasis, reduction of procedureassociated time, reduced incision length, less operative blood loss and transfusion need, decreased postoperative drain, pain and hospital stay. In addition, EBD are essential for endoscopic procedures. On the contrary, a potential drawback is the increased health care costs. This paper reviews relevant medical literature published on the safety of new devices for achieving hemostasis and dissection around the recurrent laryngeal nerve (RLN).

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ENERgized vessel sealing systems versus CONventional hemostasis techniques in thyroid surgery—the ENERCON systematic review and network meta-analysis

Abstract: This meta-analysis shows superiority of ultrasonic devices in terms of operation time compared with conventional hemostasis techniques in thyroid surgery, with no detriment to safety outcomes.

Cited by 56 publications

References 50 publications

A complication of thyroidectomy: Do not forget suture reaction

A complication of thyroidectomy: Do not forget suture reaction

Comparison of surgical outcomes and complications between the Harmonic FOCUS and conventional surgery for open thyroidectomy

Safety of energy based devices for hemostasis in thyroid surgery

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