Comparison between Focus Harmonic scalpel and other hemostatic techniques in open thyroidectomy: A systematic review and meta‐analysis

Cannizzaro, Matteo Angelo; Borzì, Laura; Bianco, Salvatore Lo; Okatyeva, Valeriya; Cavallaro, Andrea; Buffone, A

doi:10.1002/hed.24449

Cited by 38 publications

(51 citation statements)

References 32 publications

(134 reference statements)

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“…This systematic review updates the data available in the literature with published clinical trials up to the mid-2017. The clinical data found in this study are in line with the latest published reviews on the subject [51][52][53][54] and show that there is apparently no doubt about the actual efficacy and safety of the harmonic scalpel, questioning only the cost-effectiveness of the implementation of this technology in thyroid surgery.…”

Section: Discussionsupporting

confidence: 86%

Effectiveness of harmonic scalpel in patients submitted to total thyroidectomy: systematic review with meta-analysis

Aires

Matos

Dedivitis

et al. 2018

Rev. Assoc. Med. Bras.

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OBJECTIVE: The objective of this study was to evaluate the efficacy and safety of the harmonic scalpel compared to the conventional technique in patients submitted to total thyroidectomy. METHOD: This is a systematic review with inclusion of randomized controlled trials (RCTs) that compared both techniques. An electronic search was carried out in the Medline and Lilacs databases until June 2017. The outcomes analysed were operation time, intraoperative bleeding, surgical morbidity, and costs. RESULTS: Data from 31 primary studies were included. The use of the harmonic scalpel correlates to a shorter operation time (p <0.001) and a lower volume of intraoperative bleeding (p <0.001). There were no differences in the risk of transient (p = 0.53) and permanent (p = 0.70) hypocalcaemia, transient (p = 0.61) and permanent (p = 0.50) dysfunctions of the inferior laryngeal nerve and hematoma (p = 0.14). CONCLUSION: Total thyroidectomy using a harmonic scalpel is effective and safe compared to the conventional technique.

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Section: Discussionsupporting

confidence: 86%

Effectiveness of harmonic scalpel in patients submitted to total thyroidectomy: systematic review with meta-analysis

Aires

Matos

Dedivitis

et al. 2018

Rev. Assoc. Med. Bras.

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“…The blade of the HF vibrates at 55 kHz, producing mechanical energy that breaks hydrogen bonds. The HF is hand-activated, with cutting and sealing of vessels achieved by placing the curved blade in contact with the tissue and applying pressure (3).…”

Section: Introductionmentioning

confidence: 99%

Comparison of surgical outcomes and complications between the Harmonic FOCUS and conventional surgery for open thyroidectomy

et al. 2018

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Abstract. The aim of the present study was to evaluate the potential advantages of the ultrasonic scalpel compared with the conventional technique in thyroid surgery. Patients with resectable thyroid cancer and Basedow's disease were assigned to ultrasonic scalpel or conventional technique (knot-tying and electrocoagulation). The present study used the Harmonic FOCUS ® (HF) as an ultrasonic scalpel. Between February 2013 and May 2016, 45 patients were enrolled into the study. Duration of the surgery was significantly decreased in the HF group compared with the conventional surgery (CS) group (median 142 vs. 151 min; P=0.0406). Intraoperative blood loss and total volume of drainage fluid were significantly decreased in the HF group compared with the CS group (median 40 vs. 125 ml; P=0.0054, and median 120 vs. 175.5 ml; P=0.0490). Duration of drain placement and length of hospitalization stay were similar in the two groups. Furthermore, the overall incidence of postoperative complications did not differ between the two groups. Overall, the present study suggests that open thyroidectomy using the HF is safe and effective and not associated with any increase in complications.

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“…Energy‐based surgical devices (EBD) have been increasingly applied in thyroid surgery due to attractive combined dissection and hemostatic properties. Two instruments that have gained increasing acceptance over the past decade for use in thyroidectomy are the electrothermal bipolar vessel sealing system, or LigaSure (LF1212 Europe, LF1212A USA; Medtronic, Covidien products, Minneapolis, MN), and the Harmonic scalpel (Ethicon, Cincinnati, OH) . These two instruments have been described in terms of reduction of procedure time, incision length, operative blood loss, postoperative pain, hospital stay, and usefulness in endoscopic procedures …”

Section: Introductionmentioning

confidence: 99%

Safety of LigaSure in recurrent laryngeal nerve dissection‐porcine model using continuous monitoring

et al. 2016

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Comparison between Focus Harmonic scalpel and other hemostatic techniques in open thyroidectomy: A systematic review and meta‐analysis

Cited by 38 publications

References 32 publications

Effectiveness of harmonic scalpel in patients submitted to total thyroidectomy: systematic review with meta-analysis

Effectiveness of harmonic scalpel in patients submitted to total thyroidectomy: systematic review with meta-analysis

Comparison of surgical outcomes and complications between the Harmonic FOCUS and conventional surgery for open thyroidectomy

Safety of LigaSure in recurrent laryngeal nerve dissection‐porcine model using continuous monitoring

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