Parathyroid hormone level after total thyroidectomy using conventional versus harmonic focus technique: Prospective randomized study

Elhady, Hany Abdelfatah; Elghany, Rasha Abd Elaziz Abd; Zarad, Mohammed Shehata

doi:10.1016/j.amsu.2021.103176

Cited by 3 publications

(3 citation statements)

References 21 publications

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“…Similar to the studies performed (7) , in our study, the duration of hospital stay was shorter in the energy device group compared to the conventional group (p<0.001). It can be thought that the shortening of the hospital stay can balance the increased cost increase with the use of energy devices.…”

Section: Discussionsupporting

confidence: 90%

Energy Devices in Thyroidectomy: A Safe and Effective Alternative to Conventional Methods

Onder,

Altiok

2023

Med Sci Discov

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Objective: The most feared complications of thyroid surgery, which is one of the most performed operations of endocrine surgery, are hoarseness due to recurrent nerve damage and hematoma formation in the neck. With the advancement of technology, the use of energy devices has increased during thyroid operations. However, there are different opinions about using energy devices during thyroid operations. Our study aimed to examine the reliability of energy use in thyroid operations. Material and Methods: The data of 144 patients who underwent thyroid surgery for various reasons were reviewed retrospectively. The patients were divided into 2 groups, those who used energy devices during the operation and those who were operated with the conventional method. Demographic data of the patients, duration of operation, complication rates were evaluated comparatively. Result: The majority of patients were women. It was observed that the operation time was shorter, and the amount of bleeding was less in the group in which the energy device was used (p≤0.001). It was determined that the duration of hospital stay of the patients was significantly longer in the conventional surgery group (p≤0.001). There was no significant difference between the two groups in terms of incision lengths. Likewise, there was no difference between the two groups in terms of complication development frequency. Postoperative verbal pain score was significantly higher in the group operated on by conventional method (p≤0.001). Conclusion: Energy devices can be used safely in thyroid surgery with less hospital stay, less postoperative pain levels, better bleeding control and complication rates similar to conventional surgery.

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Section: Discussionsupporting

confidence: 90%

Energy Devices in Thyroidectomy: A Safe and Effective Alternative to Conventional Methods

Onder,

Altiok

2023

Med Sci Discov

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“…The difference between the two groups in mean operation time was statistically significant (P = 0.001). 20 Rashid et al observed a substantial reduction in operational time in the Ligasure group compared to the traditional suture ligation procedure (P < 0.001) in a metaanalysis. 8 The results of our study are similar to those of Davies et al which showed that the surgery duration was 62.4 ± 15.9 minutes in the Ligasure group against 83.3 ± 16.1 minutes in the conventional approach, with a statistically significant difference (P < 0.001).…”

Section: Discussionmentioning

confidence: 98%

Comparison of outcome of conventional suture ligation versus ligasure vessel sealing in patients undergoing total thyroidectomy for multinodular goiter.

Ahmed Raza Hameed,

Ahmed Siddique Ammar,

Mishal Saleem

et al. 2023

TPMJ

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Objective: To compare the results of Ligasure versus conventional suture ligation for thyroidectomy for multinodular goiter in terms of mean operative time and post-operative drain output volume. Study Design: Comparative Prospective study. Setting: Department of General Surgery, Mayo Hospital Lahore. Period: 1st April 2020 to 31st March 2021. Material & Methods: After approval from the Institutional review board of King Edward medical university, a sample of 140 patients was obtained. Patients were divided into 2 groups, Group A and Group B. Group A patients underwent total thyroidectomy with Ligasure vessel sealing while Group B patients underwent total thyroidectomy with conventional suture ligation. Operative time and post-operative drain volume were measured and documented. The P-value of ≤ 0.05 was considered significant. Results: The average age of the patients was 36.04 ± 9.78 years with minimum and maximum ages being 18 & 61 years respectively. The mean surgery time was 137.80 ± 26.21 minutes in group A while in group B the mean surgery time of the patients was 164.91 ± 31.94 minutes (P-value= <0.001). The mean post-op drain volume in group A was 91.28 ± 7.82 ml, almost similar to group B patients i: e 70.28 ± 4.33 ml (P-value=0.14). Conclusion: Ligasure vessel sealing is significantly better than conventional suture ligation in terms of mean surgery duration but there is no difference in post-operative drain volume in both groups.

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“…Hypoparathyroidism may be due to vascular injury or accidental parathyroid gland removal, and the laboratory assessment of the parathyroid function includes parathyroid hormone and serum calcium level 32 , 33 . Postoperative serum calcium decrease (hypocalcemia) may be permanent or transient.…”

Section: Discussionmentioning

confidence: 99%

An assessment of the role of surgical loupe technique in prevention of postthyroidectomy complications: a comparative prospective study

Nagaty¹,

Shehata²,

Elkady³

et al. 2023

Annals of Medicine &Amp; Surgery

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Objective: The magnification technique offered by surgical loupe is a new method that enhances visualization and helps head and neck surgeons with recurrent laryngeal nerve (RLN) and parathyroid glands identification. This study aimed to assess the safety and efficacy of using binocular surgical loupes in thyroidectomy procedures. Material and Methods: Eighty patients with thyroid nodules who underwent thyroidectomy procedure were divided randomly into two comparable groups, group A subjected to thyroidectomy by using binocular magnification loupe, group B underwent conventional thyroidectomy without using magnification. Patients’ demographics, operation time, and postoperative morbidities were recorded. All cases had preoperative and postoperative vocal cords assessment by video laryngoscopy. Pathology, laboratory, and radiology investigations were also conducted. Results: Out of 80 patients, there were 58 females and 22 males. Benign thyroid pathology was found in 74 patients and malignant pathology in 6 patients. The mean operating time was 106 min in group A compared to 138.5 min in group B. The mean amount of intraoperative bleeding was 30 ml in group A while 50 ml in group B. There were no cases of the external branch of the superior laryngeal nerve in both groups; there was better identification in group A. There was only one patient who suffered from a temporary RLN injury in group A, while three cases of temporary and one case of permanent RLN injury were recorded in group B. Permanent hypoparathyroidism was diagnosed in only one patient in group B. Conclusion: The utilization of binocular surgical loupe magnification in thyroid surgery is considered a safe and effective maneuver that has the advantages of decreasing the overall operating time and significantly reducing postoperative complications.

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Parathyroid hormone level after total thyroidectomy using conventional versus harmonic focus technique: Prospective randomized study

Cited by 3 publications

References 21 publications

Energy Devices in Thyroidectomy: A Safe and Effective Alternative to Conventional Methods

Energy Devices in Thyroidectomy: A Safe and Effective Alternative to Conventional Methods

Comparison of outcome of conventional suture ligation versus ligasure vessel sealing in patients undergoing total thyroidectomy for multinodular goiter.

An assessment of the role of surgical loupe technique in prevention of postthyroidectomy complications: a comparative prospective study

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