Electrothermal bipolar vessel sealing system is a safe and time-saving alternative to classic suture ligation in total thyroidectomy

Abstract

The electrothermal bipolar vessel sealing system is a safe and useful, time-saving adjunct for total thyroidectomy.

Unintentional parathyroidectomy during total thyroidectomy

“…14,15 Since a blood-stained operative field makes it difficult to identify and preserve the parathyroid glands, we postulated that utilization of bipolar vessel sealer or harmonic scalpel may result in a reduction of the incidence of unintentional parathyroidectomy during total thyroidectomy. Such an evaluation has not been attempted, until now, in the literature.…”

Ligasure versus Ultracision® in thyroid surgery: a prospective randomized study

“…Harmonic Scalpel has proven, during past years, to be a safe and useful device in both open and video-assisted cervical surgery [3][4][5][6][10][11][12]. Compared to standard electric scalpel, HS leads to a shorter operating time, less lateral thermal spread, and no smoke and no electric energy passage through the patient's body [13,14].…”

“…Ligasure and Harmonic Scalpel enable simultaneous sealing and division of a vessel; they are currently employed in abdominal open and laparoscopic surgery [1], but they are suitable for thyroid surgery too. In literature, there are many reports which compare, separately, the two devices with conventional techniques of tying and knots [2][3][4][5][6], but only one recent paper makes a retrospective analysis among those devices [7]. Prospective randomized studies are needed.…”

Harmonic versus LigaSure hemostasis technique in thyroid surgery: A meta-analysis

“…HS has been proven to be a safe and useful device in open and video-assisted cervical surgery (28)(29)(30)(31)(32)(33)(34). Compared with the standard electric scalpel, HS leads to a shorter surgical time, less lateral thermal spread, and no smoke and no electric energy passage through the body of the patient (35,36).…”