THE USE OF FOCUS ULTRACISION SCALPEL VERSUS KNOT TYING FOR OPEN THYROIDECTOMY: A PROSPECTIVE RANDOMIZED STUDY | ||
| The Egyptian Journal of Surgery | ||
| Volume 29, Issue 3, July 2010, Pages 126-131 PDF (1.2 M) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejsur.2010.367560 | ||
| Authors | ||
| Hosam Ghazy* 1; Ibrahim Awad1; Waleed Omar2 | ||
| 1General Surgery Department, Faculty of Medicine, Mansoura University, Egypt | ||
| 2Vascular surgery unit, Faculty of Medicine, Mansoura University, Egypt | ||
| Abstract | ||
| Aim: This study aimed at comparing the safety of the focus harmonic scalpel (HS) during conventional “open” thyroidectomy (CT) versus knot tying technique (KT). Methods: Forty-six patients scheduled for conventional total thyroidectomy (TT) were included in the study and randomly assigned to TT with the use of HS (HS group 23 patients) or with knot tying technique (KT group 23 patients). Results: Mean operative time was significantly shorter in the HS group (P < 0.001). There were reduction in the post-operative complications. The number of patients in whom a drain was used was lower in HS than CT groups (10 vs 23, P < 0.001= S). The total drainage fluid volume was lower in HS than in CT (40.4 ±35.4 vs 46.1 ± 40.1ml respectively, P= NS). Conclusions: HS is a safe alternative to KT, allowing for a significant reduction of operative time without increasing complications rate. | ||
| Keywords | ||
| Harmonic scalpel; Thyroid; safe surgery | ||
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