Suture-less Thyroidectomy Scalpel versus Conventional Randomized Controlled Trial

Waqas Aziz; Muhammad Sohaib Khan; Salman Assad; Ghulam Siddique

Author(s)

Waqas Aziz Shifa International Hospital,Islamabad,Pakistan

Muhammad Sohaib Khan Shifa College of Medicine,Islamabad,Pakistan

Salman Assad Shifa College of Medicine,Islamabad,Pakistan

Ghulam Siddique Shifa International Hospital,Islamabad,Pakistan

Abstract

BACKGROUND: The conventional thyroidectomy using knot and tie leads to increased operative time and bleeding but with the advent of harmonic scalpel (HS), which cuts and coagulates the tissues at the same time using a mechanical energy, has significantly decreased the operative time and bleeding. This study assessed to compare the mean operative time and mean post-operative bleeding time in sutureless thyroidectomy using harmonic scalpel with conventional thyroidectomy. METHODS: We conducted a randomized controlled trial at the surgical unit of the Shifa International Hospital and Shifa College of Medicine, Islamabad. Both male and female patients with age of =18 years were enrolled in the study. During the period of 6 months, 160 patients were divided equally in HS group (n=80) and conventional thyroidectomy group (n=80) respectively. Patients were enrolled in the study after obtaining informed consent. Patients with re-do thyroidectomies, retrosternal goiter, concomitant neck dissections and known coagulopathies were excluded from trial. The mean operative time and mean post-operative blood loss was recorded. RESULTS: During the six months period (March to August 2014), 160 patients were randomized into two equal groups (n= 80). Of 160 patients with multinodular goiter, 134 (83.8%) were females and 22 (16.2%) were males. The age ranged from 18 to 61 years in both groups with mean age in group A of 42 years (SD=9) and group B of 43 years (SD =9.8).The mean operative time in HS thyroidectomy (Group A) was 76 minutes (SD=9) and conventional thyroidectomy was 116 minutes (SD=16); difference between two groups =40 minutes (P<0.001). The mean post-operative bleeding in HS thyroidectomy was significantly lower as compared to the conventional thyroidectomy group (18.2 ml vs.76.0 ml, P< 0.001). CONCLUSION: Mean operative time and mean post-operative bleeding in thyroidectomy with HS was less as compared to conventional thyroidectomy.

Publication Details

Page(s) 48-51

DOI DOI not available

Published Journal: Journal of Pioneering Medical Sciences, Volume: 6, Issue: 2, Year: 2016

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Keywords

Knot and tie, Harmonic scalpel, Conventional thyroidectomy

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