Total thyroidectomy: Conventional suture ligation technique versus sutureless techniques, Sohag experince

Amer, Islam; saleem, abd el aal; Elraheem, Osama Abd

doi:10.21608/ejentas.2020.48292.1275

Cited by 3 publications

(2 citation statements)

References 19 publications

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“…The hospital stay of the patients results from postoperative complications in the operated patients. In our study, the overall complication rate was very low in both the group S and group C, the results were in accordance with the study of Mohamed WBA et al, Mohamed SS et al, and Amer I et al [9][10][11] In our study, 2/51 patients developed temporary/transient hypocalcemia in group S and 4/79 in group C. None among the 130 patients developed permanent hypocalcemia, which can be explained possibly because of the following reasons: (i) complete preservation of parathyroid gland with vascular supply, (ii) autotransplantation in selected patients, and (iii) patients with a history of irradiation neck, redo surgery, and neck dissection were not enrolled in the study. The results were in accordance with the study of Ali MNM et al, Chang et al, Garas et al,Saneen et al 4,7,12,13 In our study, 3.9% (n = 2/51) patients in group S and 6.3% In our study, we analyzed 130 patients of thyroidectomy, and none of the patients had complications of surgical-site infection or wound infection.…”

Section: Discussionsupporting

confidence: 93%

Sutureless Thyroidectomy Using Electrosurgical Devices

Bhat,

Malik,

Wani

et al. 2023

Indian Journal of Endocrine Surgery and Research

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Background:The thyroid gland being an extremely vascularized organ in nature, the surgical manipulations can lead to serious complications in terms of intraoperative bleeding to further serious complications like recurrent laryngeal nerve injury. The advancement in developing vessel sealing devices is ideally suitable for the extensive vascular network of the thyroid.Objective: This study aimed to compare the various perioperative and postoperative complications in sutureless and conventional thyroidectomy procedures. Materials and methods: This was a hospital-based cohort study comparing two groups, conventional and sutureless thyroidectomy performed in the Department of General and Minimal Invasive Surgery at Sher-I-Kashmir Institute of Medical Sciences, Srinagar, within a time period of 3 years. The patients were followed for outcome variables. The studied variables were type of surgery, age, gender, postoperative calcium levels, time for surgery, intraoperative bleeding, hospital stay, hematoma formation, neurovascular deficit, or any other. Results: The mean age in years was 34 years for group S and 36 years for group C with female preponderance. There was a significant difference with regard to operative time, intraoperative blood loss, and hospital stay (p < 0.001). Harmonic Scalpel shortens the operative time. Hospital stay was shorter in group S compared with group C. Conclusion: Sutureless thyroidectomy using electrosurgical devices tends to be more effective and safe in terms of blood loss, operative time, and hospital stay than conventional thyroidectomy using suture ligation.

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Section: Discussionsupporting

confidence: 93%

Sutureless Thyroidectomy Using Electrosurgical Devices

Bhat,

Malik,

Wani

et al. 2023

Indian Journal of Endocrine Surgery and Research

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“…The need for more than two ampoules during the first 24 hours showed a significant reduction in the sutureless group (2,6.7%) than in the conventional suture ligation group (10,28.6%), the P-value was 0.039 (16).…”

Section: Ruggiero Et Al (2021)mentioning

confidence: 86%

Safety and Feasibility of Sutureless Total Thyroidectomy

Basha

2022

Aswan University Medical Journal

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Background:The thyroid gland is one of the highly vascular tissues in the body. Total thyroidectomy (TT) is the gold standard for the surgical treatment of many thyroid disorders. There is no change occurred in the technique of total thyroidectomy, but using Harmonic Scalpel, LigaSure, or cutting and hemostasis are new approaches to vessel ligation and division. sutureless thyroidectomy becomes a competitor for the conventional technique. Aim and objectives: to compare the use of the sutureless technique by LigaSure versus Conventional Suture Ligation in thyroid surgery in terms of operative time, drainage volume, complications, and duration of hospital stay. Subjects and methods; This was a Prospective comparative study, on 60 patients divided into 2 groups: (Group 1); patients had sutureless thyroidectomy (S group), (Group 2); patients had conventional thyroidectomy (C group). Result: There was an insignificant difference between both groups as regards Surgical complications. Conclusion: Sutureless thyroidectomy is a safe and efficient way of performing total thyroidectomy. LigaSure was significantly advantageous over conventional techniques in reducing operation time as well as perioperative and postoperative blood loss and parathyroid injury. The reduction of operative times resulted in decreased operating room occupancy costs but the overall cost of surgery was significantly higher in the LigaSure group.

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