LigaSure versus clamp‐and‐tie thyroidectomy for benign nodular disease

Petrakis, Ioannis; Kogerakis, Nektarios; Lasithiotakis, Kostas G.; Vrachassotakis, N.; Chalkiadakis, George

doi:10.1002/hed.20073

Cited by 87 publications

(89 citation statements)

References 26 publications

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“…Petrakis et al [6] in their study found intraoperative total blood loss was similar between the two groups, but postoperative drain volume was less in Ligasure group than in other (21±15 mL; p IJBR (2015) 6 (06) www.ssjournals.com <.01).In our study postoperative complications were observed in 11(10.18%) cases. Barbaros et al [7] in 2006 used Ligasure in patients with hyperthyroidism and found the complication rates of the Ligasure and conventional thyroidectomy groups were 4 and 6%, respectively (p>0.05).…”

Section: Discussionsupporting

confidence: 47%

A Study of use of bipolar cautery in thyroidectomy for coagulating vascular pedicles instead of conventional ligation

Govindaraj

Meti

Ravikiran

2015

Int Jour of Biomed Res

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Aim: To present our experience with use of bipolar cautery in thyroid surgery. Methods and materials:The study was done between August2011-August2013. Study included all patients undergoing thyroid surgeries for various benign and malignant conditions of thyroid. This study included all age group and both gender. Vascular pedicles were cauterized using conventional bipolar cautery without knot tying. Postoperative outcomes were analyzed. Results: Out of 108 cases, 41 male (37.96%), 67 female (62.04%) patients. M:F 1:1.6. 50(46.29%) cases were malignant and 58(53.70%) benign. Among carcinoma thyroid 56% are papillary, 30% follicular, 10% anaplastic and 4% medullary.52 (48.14%) cases undergone total thyroidectomy, 34(31.48%) lobectomy, 22(20.37%) total thyroidectomy with functional neck dissection. Mean operating time for lobectomy was 20min; total thyroidectomy 35min, total thyroidectomy with functional neck dissection was 90min. Postoperative complications were observed in 11(10.18%) cases. No case of severe bleeding which required re-exploration. 2 (1.85%) surgical site infections. 2(1.85%) cases of unilateral recurrent laryngeal nerve injuries have occurred. Hypoparathyroidism seen in 4(3.7%) cases; 3 transient, 1 permanent due to infiltration by anaplastic carcinoma. Conclusion: Use of conventional bipolar cautery is safe, effective and time saving in thyroid surgeries.

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Section: Discussionsupporting

confidence: 47%

A Study of use of bipolar cautery in thyroidectomy for coagulating vascular pedicles instead of conventional ligation

Govindaraj

Meti

Ravikiran

2015

Int Jour of Biomed Res

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“…The primary application for the HS in the otolaryngological literature is its use for tonsillectomy and thyroidectomy. The use of the HS has also been described in excising cancer of the tongue and soft palate [7], submandibular sialoadenectomy [8], parotidectomy, treating allergic rhinitis by means of inferior turbinate alteration, and surgical treatment of rhinophyma [9]. Unlike the variable results described with the use of the HS in tonsillectomy, literature is consistent concerning the usefulness of the harmonic scalpel in thyroid surgery.…”

Section: Discussionmentioning

confidence: 99%

Harmonic Scalpel Compared to Conventional Hemostasis in Thyroid Surgery

Yener¹,

Demır²,

Yılmaz³

et al. 2012

Indian J Surg

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The aim of this study was to determine whether conventional hemostasis (CH) or the harmonic scalpel (HS) results in shorter operative times for thyroidectomy and to evaluate the incidence of postoperative complications with each approach. In this study, 85 consecutive patients undergone open thyroidectomy were randomized into two groups: group CH (conventional hemostasis with classic technique of tying and knots, resorbable ligature, bipolar diathermy) and group HS (harmonic scalpel). Demographics, pathological characteristics, thyroid size, operative time, blood loss, and complications using the Student's t-test and χ 2 -test. The two groups were similar regarding age and sex. There were no intraoperative complications. There was no difference between the two techniques regarding the amount of blood loss for different procedures. No significant differences were found between the two groups concerning mean thyroid weight and mean hospital stay (2.2 days in HS vs. 3.7 in CH; P>0.05). The mean operative time was significantly shorter in the HS group (47.2 min vs. 79.2 min; P<0.001). Two (4.7 %) transient recurrent laryngeal nerve palsies were observed in the CH group and no one (0 %) in the HS group. No patient developed permanent palsy. Postoperative transient hypocalcemia occurred more frequently in the CH group (21/43, 48 % vs. 7/42, 16 %). In patients undergoing thyroidectomy, HS is a reliable and safe tool. Comparing with CH techniques, its use reduces operative times, postoperative pain, drainage volume, and transient hypocalcemia.

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“…However, the reported results of using LigaSure in thyroid surgery have been fairly discordant. Several authors reported a reduction in complications such as transient recurrent palsy and transient hypoparathyroidism and shorter operating times, 12 whereas others reported a shorter operating time but no change in the incidence of complications. [13][14][15] Some authors even reported no difference in operating times or the incidence of complications between LigaSure and traditional hemostatic methods.…”

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confidence: 99%

LigaSure in total thyroidectomy

et al. 2008

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Purpose. LigaSure is a bipolar diathermy system, which achieves vessel sealing with reduced thermal spread. The device has been used successfully in abdominal operations and because of its features, it has been applied recently in thyroid surgery to minimize the risk of complications such as laryngeal nerve palsy and hypocalcemia, and also to reduce the operating time. Methods. Between June and December 2005, we performed total thyroidectomy for various disorders in 105 patients. We used the LigaSure diathermy system in 53 patients and traditional hemostatic procedures in the other 52. We evaluated the demographic features, histopathological diagnosis, operating times, and relevant postoperative complications. Results. The two study groups had similar demographic and histopathological features. The mean operating time ± SD was not signifi cantly shorter in the LigaSure group than in the traditional group (104 ± 12.7 vs 110 ± 15.6 min). None of the patients in either group suffered hemorrhage, defi nitive hypocalcemia, or defi nitive laryngeal nerve palsy. Transient hypocalcemia and transient laryngeal nerve palsy developed in 7.54% and in 1.88%, respectively, of the patients in the LigaSure group, and in 7.69% and 1.92%, respectively, of the patients in the traditional group; these differences were not signifi cant. Conclusions. LigaSure is a safe and effective method of hemostasis control, but it did not reduce the incidence of complications or operating times compared with traditional hemostatic procedures; moreover, the operative costs were higher.

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LigaSure versus clamp‐and‐tie thyroidectomy for benign nodular disease

Abstract: The use of the LigaSure vessel sealer for thyroid surgery is an effective and safe alternative that reduces the overall operative time and could be successfully applied through a narrow surgical incision.

Cited by 87 publications

References 26 publications

A Study of use of bipolar cautery in thyroidectomy for coagulating vascular pedicles instead of conventional ligation

A Study of use of bipolar cautery in thyroidectomy for coagulating vascular pedicles instead of conventional ligation

Harmonic Scalpel Compared to Conventional Hemostasis in Thyroid Surgery

LigaSure in total thyroidectomy

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