Abstract:
Objective: To evaluate the potential advantages of the use of Harmonic Scalpel in thyroidectomies in terms of operative time and complications. Material and Methods: This prospective study was conducted in private sector 2 hospitals, Said anwer medical centre, and Abaseen Hospital, dabgari Gardens ,Peshawar-Pakistan. The study period was from January 2017 to March 2019 A total of 130 cases were recruited for thyroid surgery, 15 patients were dropped out due to different reasons. In 68 patients thyroidectomies were performed using harmonic scalpel FOCUS (group A), & in 47 without it (group B). RESULTS: Mean operative time was 120 minutes in group A and 150 minutes in group B with a mean difference of 30 minutes (14.9%). 55 patients in group A (81.35%) and 34 in group B (73.4%) were discharged in second postoperative day. In group A, hypoparathyroidism was present in 34 patients at discharge (48%), in 23 at 6 months (3.38%) and in 10 at 12 months (2.13%), in group B, in 25 at discharge (54.26%), in 61 at 6 months (12.98%) and in 28 at 12 months (5.96%).
Page(s):
142-146
DOI:
DOI not available
Published:
Journal: Journal of Medical Science, Volume: 27, Issue: 2, Year: 2019
Keywords:
Bleeding
,
Thyroidectomy
,
Scalpel
,
Operative time
,
Harmonic