The Efficacy of Ankaferd Blood Stopper for the Management of Bleeding Following Total Thyroidectomy

Abstract

On the basis of the results of this trial, the use of ABS seems to be more effective than HCT to control hemorrhage following total thyroidectomy.

Comparison of an Intraoperative Application of a Haemostatic Agent (PerClot<sup>&reg</sup>) with Conventional Haemostatic Procedure after Thyroid Resection

“…However, thermal damage to the surrounding structures can occur in the areas of electrocoagulation [7]. Also, it is difficult to satisfy oozing-type bleeding near vulnerable anatomic structures, such as the RLN and the parathyroid glands [7].…”

“…Surgical technique and experience of the surgeon in the field of thyroid surgery are important for an uncomplicated perioperative course [5] [6]. The major complications of thyroidectomy are the laceration of the parathyroid glands, the injury of the recurrent laryngeal nerve (RLN), and a postoperative hemorrhage [7] [8]. Nevertheless, postoperative haemorrhage remains an uncommon but potentially life-threatening complication of thyroid surgery.…”

“…Also, it is difficult to satisfy oozing-type bleeding near vulnerable anatomic structures, such as the RLN and the parathyroid glands [7]. In recent years, various topical haemostatic agents have been widely used in thyroid surgery as in other surgical disciplines [6] [7] [11]- [15]. PerClot ® (Starch Medical, Inc.; San Jose, CA) consists of dry, sterile, polysaccharide particles manufactured from purified plant starch using proprietary modification processes [16] [17].…”

“…However, thermal damage to the surrounding structures can occur in the areas of electrocoagulation [7]. Also, it is difficult to satisfy oozing-type bleeding near vulnerable anatomic structures, such as the RLN and the parathyroid glands [7]. In recent years, various topical haemostatic agents have been widely used in thyroid surgery as in other surgical disciplines [6] [7] [11]- [15].…”

“…Nevertheless, postoperative haemorrhage remains an uncommon but potentially life-threatening complication of thyroid surgery. The risk for a postoperative hemorrhage to happen ranges from 0.5% and 6.5% [5] [7] [9] [10].…”