Optimal position for a cervical collar incision: A prospective study

Jancewicz, Stephen; Sidhu, Stan; Jalaludin, Bin; Campbell, Peter

doi:10.1046/j.1445-2197.2002.02287.x

Cited by 15 publications

(10 citation statements)

References 4 publications

(4 reference statements)

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“…Harmonic scalpel has been approved by published studies to have better haemostatic effect in comparison to coventional technique 26,27 , our results does not report any cases of intraoperative or postoperative bleeding who need blood transfusion or reoperation in both groups. No mortality was reported in our study while published data reported negligible mortality due to thyroidectomy 28 .…”

Section: Discussioncontrasting

confidence: 51%

Impact of the Harmonic Scalpel Hemostasis in Total Thyroidectomy in Comparison With Conventional Hemostatic Technique

Kadem¹,

Balasim²

2016

Basrah Journal of Surgery

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Traditional haemostatic technique in thyroidectomy may cause some damages to surrounding tissues and it is time consuming. It is believed that these damages and the time can be reduced using ultrasonic dissector devices like Harmonic Scalpel. In this study, we investigate the benefits of harmonic Scalpel haemostasis (HS) versus conventional haemostatic techniques (CT) in total thyroidectomy. Analysis of patient's data was done for cases with total thyroidectomies performed between 2011and 2015 by the same surgeons using either the conventional technique (Clamp and Tie technique) or the harmonic scalpel for haemostasis. Gender, age, preoperative clinical information, histopathology results,and procedure type were analyzed. and according to the type of haemostatic techniques the collected patient's data was divided in to two groups; conventional group (CT group) in which the haemostasis was done with Clamp and Tie technique and harmonic scalpel group (HS group) in which the haemostasis was done with Harmonic Scalpel (Sonicbeat Olympus). The outcome and the complications of the both procedures were analyzed statistically and compared. The use of harmonic scalpel in total thyroidectomy significantly decreases mean operative time by (-37.635 min) 60.49±7.78 SD for HS group vs 98.13±14.165 SD for CT group with very significant P-value (0.0000). Statistical significant difference in the mean volume of postoperative drainage in (ml) through redivac drain observed between the two groups; 63.02±19.91SD for HS group and 72.50±22.79 SD for CT group with significant P-value (0.0000). There were no significant difference in the other parameters of the outcome and complications after total thyroidectomy in both groups. It is concluded from this study that main impact of harmonic scalpel in total thyroidectomy is the significant reduction in operative time and its use is safe and not associated with increase in the rate of the complications.

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Section: Discussioncontrasting

confidence: 51%

Impact of the Harmonic Scalpel Hemostasis in Total Thyroidectomy in Comparison With Conventional Hemostatic Technique

Kadem¹,

Balasim²

2016

Basrah Journal of Surgery

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“…Perhaps using an adjustable or inflatable bag might have improved the situation. [14][15][16] However, the most direct and proper way of measuring neck extension during thyroidectomy would be to obtain an intraoperative fluoroscopic image. 8 In addition to pain, our study also evaluated other secondary outcome parameters, including operating time, blood loss, number of parathyroid glands seen and autotransplanted, rate of RLN injury, and postoperative hypoparathyroidism.…”

Section: Discussionmentioning

confidence: 99%

Pain and surgical outcomes with and without neck extension in standard open thyroidectomy: A prospective randomized trial

Lang

Wong

2014

Head Neck

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“…The surgical team consists of the surgeon and three assistants, one of whom must hold the camera. A 20–35 mm skin incision is performed "high" between the cricoid and jugular notch, in the middle line on account of its upper migration when the patient is placed in the supine position [25]. …”

Section: Methodsmentioning

confidence: 99%

The size criteria in minimally invasive video-assisted thyroidectomy

et al. 2007

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BackgroundThyroid size is a very important criteria of MIVAT exclusion because the working space provided by the technique is limited.The aim of this work has been to verify the suitability of MIVAT and its applicability in clinical practice, not only in patients with a thyroid volume up to 25 ml but also in patients with a thyroid volume included from 25 to 50 ml.MethodsFrom January 2003 to February 2006, 33 patients have been selected for MIVAT. A completely gasless procedure was carried out through a central 20 to 35 mm skin incision performed "high" between the cricoid and jugular notch.ResultsThe patients were separated in 2 groups. The first group (less than 25 ml) included 23 patients, the second group (from 25 to 50 ml) included 10 patients. The skin incision performed was from 20 to 25 mm (mean 23.61 mm ± 1.83) long in the first group and from 25 to 35 mm (mean 27.8 mm ± 2.20) long in the second one; this difference is significant (t test p < 0.001).ConclusionOur study suggest that the MIVAT using for thyroids bigger than 25 ml and up to 50 ml in volume is feasible and safe. This way allows more patients, excluded before, to take the advantages of minimally invasive approach.

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Optimal position for a cervical collar incision: A prospective study

Cited by 15 publications

References 4 publications

Impact of the Harmonic Scalpel Hemostasis in Total Thyroidectomy in Comparison With Conventional Hemostatic Technique

Impact of the Harmonic Scalpel Hemostasis in Total Thyroidectomy in Comparison With Conventional Hemostatic Technique

Pain and surgical outcomes with and without neck extension in standard open thyroidectomy: A prospective randomized trial

The size criteria in minimally invasive video-assisted thyroidectomy

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