Differences in Thyroidectomy Outcomes Based on Surgical Method: A Comparison of LigaSure Precise, Harmonic Focus, and Traditional Methods

Çiftçi, Fatih

doi:10.9738/intsurg-d-15-00176.1

Cited by 3 publications

(4 citation statements)

References 22 publications

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“…Many researchers have reported results similar to our study. These studies demonstrated statistically significant (p<0.005) difference in intraoperative bleeding between LigaSure small jaw group and conventional technique group [17,19,22,24]. In our study there was only one case of postoperative hematoma formation in the conventional vascular ligation group (0.9%) while none of the patients in the LigaSure group developed hematoma formation (p>0.05).…”

Section: The Effectiveness and Safety Of Ebds Like Harmonic-scalpel® supporting

confidence: 41%

“…In their comparative study Ciftci showed difference in operative times (∼15%) between harmonic and traditional suture tie groups but this difference was not statistically significant. The shorter operative times associated with Harmonic Focus are likely due to its unique ultrasound-based technology, which enables simultaneous cutting and coagulation [22]. A meta-analysis by Zhang et al also reported significant reduction in operative time in LigaSure group versus conventional suture ligation method (p<0.00001) [17,23].…”

Section: The Effectiveness and Safety Of Ebds Like Harmonic-scalpel® mentioning

confidence: 99%

“…A meta-analysis by Zhang et al also reported significant reduction in operative time in LigaSure group versus conventional suture ligation method (p<0.00001) [17,23]. Studies have reported mean operative times ranging from 58 to 115.54 min for total thyroidectomy with LigaSure small jaw device and mean operative times between 75 and 153.45 min for conventional vascular ligature technique [17,[22][23]. In our study, despite advantage of decreased operative time the cost of surgery was much higher in LigaSure group because of the cost of the device.…”

Section: The Effectiveness and Safety Of Ebds Like Harmonic-scalpel® mentioning

confidence: 99%

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Safety and Cost-effectiveness of LigaSure® in Total Thyroidectomy in Comparison with Conventional Suture Tie Technique

Bhettani¹,

Rehman²,

Khan³

et al. 2019

Cureus

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Introduction: Total thyroidectomy has been considered to be a treatment of choice for thyroid malignancies. It has recently gained popularity as gold standard for benign thyroid disorders requiring surgical treatment. Because of higher number of complications associated with total thyroidectomy, it is still considered an adventurous endeavor. Most important improvements in thyroid surgery include laparoscopic thyroidectomy, energy based devices (EBD) like Harmonic Focus® and LigaSure® for dissection and hemostasis, intraoperative neuromonitoring, and parathyroid hormone (PTH) assay technology. Aim of Study: Recent studies have suggested that despite lesser complication rates with LigaSure dissection method in total thyroidectomy, it is associated with prolonged operation time. Aim of our study was to compare conventional suture tie technique and LigaSure thyroidectomy, in terms of perioperative complications including bleeding, recurrent laryngeal nerve (RLN) injury, postoperative hematoma, hypocalcemia, operation time, and costeffectiveness.

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Section: The Effectiveness and Safety Of Ebds Like Harmonic-scalpel® supporting

confidence: 41%

Section: The Effectiveness and Safety Of Ebds Like Harmonic-scalpel® mentioning

confidence: 99%

Section: The Effectiveness and Safety Of Ebds Like Harmonic-scalpel® mentioning

confidence: 99%

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Safety and Cost-effectiveness of LigaSure® in Total Thyroidectomy in Comparison with Conventional Suture Tie Technique

Bhettani¹,

Rehman²,

Khan³

et al. 2019

Cureus

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“…37 Ferri et al in their similar trial recorded the same findings, while Ciftici in their comparative study of using Liga Sure precise, focus harmonic, and conventional technique showed no differences in terms of postoperative complications among the three groups. 38,39 In the present study, the mean duration of hospital stay was shorter in Group A (1.98±0.18 days) than Group B (2.37±1.79 days); this difference was highly significant (p=0.001). The results are similar to results of the other researchers as Noori et al who reported that the mean hospital stay in his study was significantly shorter in harmonic scalpel group compared with conventional technique (20 h vs. 32 h).…”

Section: Discussionmentioning

confidence: 41%

A comparative study between harmonic scalpel hemostasis and conventional hemostasis in total thyroidectomy

Sherpiny

2020

Int Surg J

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Background: Thyroidectomy is the most commonly performed procedure in endocrine surgery. Since the thyroid gland is highly vascular, therefore, rapid and absolute hemostasis is extremely required. Conventional thyroidectomy is commonly used with acceptable outcomes, however, it is time‑consuming and resulted in significant intraoperative blood loss with the possible risk of postoperative hemorrhage, injury to parathyroid glands and laryngeal nerves. The advent of focus harmonic devices was encouraging for improving safety, effectiveness, and reduction of operative time, especially in thyroid surgery. Aim of this study: The purpose of this study was to analyze the effectiveness and surgical outcomes of using ultrasonic harmonic scalpel for thyroid surgery compared to conventional techniques.Methods: This was a prospective, randomized study in which 60 patients with various types of goiters presented for thyroidectomy. The patients were divided into two comparable groups. Group A (30 patients) included patients who had focus harmonic thyroidectomy and Group B (30 patients) included patients who underwent conventional thyroidectomy.Results: Focus harmonic thyroidectomy showed a significant reduction in operative time, intraoperative blood loss, volume of postoperative fluid drainage and meantime for hospital stay compared with conventional thyroidectomy. There were no significant differences in the incidence of postoperative hypocalcemia, seroma, hematoma, wound infection and laryngeal nerve injury between both groups.Conclusions: Focus harmonic thyroidectomy was a safe, effective, faster, and appealing alternative to conventional technique since it reduced the operative time, intraoperative blood loss, postoperative drainage and hospital stay with comparable postoperative complications.

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A comparative study between the outcome of using LigaSure® versus suture ligation in thyroid surgery

Kadhim,

Ibrahim

2023

MJBL

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Background: Thyroid surgery is one of the most performed operations; with the high vascularity of the thyroid gland and the importance of hemostasis to the surgical outcome, many surgeons have begun to use energy-based devices to perform thyroid surgical procedures, and numerous studies demonstrated the benefit of these devices. The aim was to compare the use of a vessel sealing device (LigaSure) with suture ligation in perioperative time, hypocalcemia, recurrent laryngeal nerve (RLN) damage, blood loss after surgery, hematoma formation, and period of the patient. Materials and Methods: In this study, 81 patients who underwent total thyroidectomy for different diseases, and divided into two groups corresponding to the hemostasis type: vessel sealing devices (LigaSure) group, and suture ligation group, these groups compared regarding operative time; hypocalcemia, RLN injury, blood loss after surgical procedure, hematoma formation, and period of hospital admissions. Results: The duration of surgery was more significant and shorter in the LigaSure® group 66.57 ± 8.93 min than suture ligation group 86.84 ± 17.5 min with P = 0.0001, with bleeding after surgery, was lesser in LigaSure® patients 52.76 ± 22.8 mL than suture ligation group 95.09 ± 39.91 mL with P = 0.0001; other outcomes (postoperative hematoma formation, injury to recurrent laryngeal nerve, hypocalcemia after surgery, and period of hospital admission), and there was no difference between the two groups mentioned above. Conclusion: The role of the LigaSure instrument in thyroidectomy surgery is to decrease the operative time duration and blood loss after surgery, with no effect on the incidence of recurrent laryngeal nerve damage, postoperative low serum calcium level, and hematoma formation.

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Differences in Thyroidectomy Outcomes Based on Surgical Method: A Comparison of LigaSure Precise, Harmonic Focus, and Traditional Methods

Cited by 3 publications

References 22 publications

Safety and Cost-effectiveness of LigaSure® in Total Thyroidectomy in Comparison with Conventional Suture Tie Technique

Safety and Cost-effectiveness of LigaSure® in Total Thyroidectomy in Comparison with Conventional Suture Tie Technique

A comparative study between harmonic scalpel hemostasis and conventional hemostasis in total thyroidectomy

A comparative study between the outcome of using LigaSure® versus suture ligation in thyroid surgery

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