Isra Medical Journal

Title:

Comparison of Outcome after Thyroid Surgery Using Harmonic versus Conventional Clamp and Tie Method

Authors:

Tanweer Ahmed, Muhammad Tahir, Imran Khan, Muhammad Iqbal Khan, Surgra Parveen

Published on:

2018-10-31

Journal Reference:

Volume 10 - Issue 5 Sep - Oct 2018

Pages:

296-300

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DOI:

OBJECTIVE: To compare outcome of thyroid surgery with harmonic versus conventional clamp-and tie thyroidectomy.

STUDY DESIGN: A Randomized control trial

PLACE AND DURATION: Jinnah Post Graduate Medical College, Department of Surgery, Unit I, Karachi. From 1^st June, 2016 to 28^th Feb, 2017.

METHODOLOGY: All patients were divided in two groups i.e. Group A, in whom dissection and hemostasis were performed using conventional method and Group B, in which the Harmonic Focus were used. All the patients underwent near total/total thyroidectomy and the parameters includes post-operative hospital stay, intra-operative blood loss, postoperative pain and operative time were assessed.

RESULTS: Total number of patients were 60 andMean age of group A was 30.93±12.29 and in group B age was 34.73±10.22. Recurrent Laryngeal Nerve palsy in both groups was 6.7% vs 3.3% respectively. Mean post-operative hospital stay of group A was 3.03 and in group B age was 1.56 in days, mean intra-operative loss of blood of group A was 35.3ml and in group B was 28.06ml, mean post-operative pain measure of group A was 5.93 whereas in group B was 3.66, mean of operative time of group A was 105.4min and in group B was 79.83min.

CONCLUSION: Use of the Harmonic Scalpel in total/near total thyroidectomy is safer, quicker and also decrease the post-operative hospital stay and post-operative pain.

KEYWORDS:Thyroidectomy, Harmonic Scalpel, Conventional, Suture Ligation, Complications.

HOW TO CITE THIS:

Ahmed T, Tahir M, Khan I, Khan MI, Parveen S. Comparison of Outcome after Thyroid Surgery Using Harmonic versus Conventional Clamp and Tie Method. Isra Med J. 2018; 10(5): 296-300.

This is an Open Access article distributed under the terms of the Creative Commons Attribution-Noncommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.