Total thyroidectomy: Conventional suture ligation technique versus sutureless techniques, Sohag experince | ||
| Egyptian Journal of Ear, Nose, Throat and Allied Sciences | ||
| Article 34, Volume 22, Issue 22, January 2021, Pages 1-11 PDF (1.65 M) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejentas.2020.48292.1275 | ||
| Authors | ||
| Islam Amer* 1; abd- el -aal saleem1; Osama Abd Allaha Abd Elraheem2 | ||
| 1egypt- sohag- faculty of medicine - surgery department | ||
| 2general surgery department faculty of medicine sohag university | ||
| Abstract | ||
| Background: The thyroid gland is one of the highly vascular tissues in the body. Hemostasis is one of the important and essential components of the procedure. Nowadays with the widespread use of energy instruments like ultrasonic coagulation (Harmonic Scalpel, Ethicon) and bipolar control (LigaSure, Valleylab) or cutting and hemostasis which integrates new approaches to vessel ligation and division without increase the postoperative complications. In a prospective comparative analysis of open complete thyroidectomy, this work aimed to examine the effect of modern suture ligation procedures using the Harmonic ® process in comparison with conventional suture ligation. Patients and Methods: This was a prospective comparative analysis at Maxillofacial, Head, and Neck Surgery Unite in the General Surgery Department, Faculty of Medicine, Sohag University in Sohag, Egypt. The patients were divided into two groups; the first group included patients operated with the Harmonic ® Focus or Sutureless Thyroidectomy (S technique), and the second group included patients receiving traditional thyroidectomy (C group). Results: Between September 2016 and September 2019 92 patients with thyroid disorder were registered for this research. Fifty patients (54.3 percent) had complete sutureless thyroidectomy and 42 patients (45.6 percent) had conventional complete thyroidectomy, mean sutureless thyroidectomy age was (42.53) years, and typical group age was (45.74) years. Duration of operation: blood loss Intraoperative and postoperative, drain, transient hypocalcemia, general postoperative complications, and hospital stay were considerably lower in the Sutureless Thyroidectomy group. No significant difference between the two groups concerning the laryngeal nerve's recurring function. Conclusion: Sutureless thyroidectomy is the recommended treatment for treating most thyroid disorders, because it has had reduced operation time, reduced clinical complications incidence, and successful operating outcomes. Harmonic Concentration (HF) is a safe, reliable, and time-saving strategy. | ||
| Keywords | ||
| Harmonic thyroidectomy; suturless thyroidectomy; total thyroidectomy | ||
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