OUTCOME OF CAPSULAR DISSECTION USING MONOPOLAR CAUTERY IN THYROIDECTOMY- A RETROSPECTIVE STUDY
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2019, Vol 6, Issue 24
Abstract
BACKGROUND The main post-operative complications of thyroidectomy are temporary hypocalcaemia (20%), permanent hypocalcaemia (4%), transient vocal cord palsy (1-2%) and permanent vocal cord palsy (0.5-1%). These complications are less with experienced surgeons using capsular dissection technique. The technique of capsular dissection can be done with the conventional technique or using other energy sources. Our study aims to find the outcome of capsular dissection using monopolar cautery. We wanted to study the outcome of capsular dissection technique, using monopolar cautery, during thyroid surgery, with regard to complications, bleeding and time taken for the procedure. METHODS This is a retrospective study conducted in the Department of Surgery, Government Medical College, Thrissur. Details of patients undergoing thyroidectomy by capsular dissection technique, using monopolar cautery, during the period 2012 to 2015 were collected. Collected data was subjected to statistical analysis with the help of SPSS Ver. 21.0. Basic statistical methods like percentage analysis is used for analysis of data. RESULTS 115 patients who underwent thyroidectomy for varying indications during the period and satisfying the inclusion criteria were included in the study. All patients were operated under general anaesthesia. All surgeries were done by the same surgeon, by capsular dissection technique using monopolar cautery. Average time duration was 79 minutes for total and 60 minutes for hemi-thyroidectomy. Blood loss was less than 30 ml. in all patients. There was no mortality. Overall complication rate was 5.2%. Transient hypocalcaemia was 3.4%, temporary hoarseness was 2.2% and wound haematoma was 0.8%. CONCLUSIONS Capsular dissection using monopolar cautery in thyroidectomy is safe and effective. This technique is less time consuming, causes only minimal bleeding and has lower complication rate.
Authors and Affiliations
Rajesh T. R, Santhosh T. V.
Keywords
Related Articles
- EP ID EP667314
- DOI 10.18410/jebmh/2019/339
- Views 74
- Downloads 0
STUDY ON MODE OF TERMINATION OF MEDIAN NERVE
Carpal tunnel syndrome (CTS) is a common focal peripheral neuropathy. Increased pressure in the carpal tunnel results in median nerve compression and impaired nerve perfusion leading to discomfort and paresthesia in the...
CLINICOEPIDEMIOLOGICAL ANALYSIS OF SECONDARY GLAUCOMA FOLLOWING CLOSED GLOBE INJURY IN A TERTIARY LEVEL HOSPITAL
BACKGROUND Closed globe injury is one of the commonest cause of secondary glaucoma. Angle recession, hyphaema-associated and lensassociated mechanisms are the most common causes of secondary glaucoma after blunt ocular t...
CLINICO-PATHOLOGICAL CORRELATION OF LYMHADENOPATHY IN HIV POSITIVE PATIENTS
BACKGROUND: Lymphadenopathy is common in HIV infected individuals as lymphoid tissue is a major target and reservoir of the Human immunodeficiency virus (HIV) as well for opportunistic infections. AIM: Clinical assessmen...
STUDY OF DIFFERENT POSITIONS OF APPENDIX IN OPERATED CASES OF APPENDICITIS IN RURAL HOSPITAL AND ITS CLINICAL CORRELATION
BACKGROUND The relationship of the various positions of appendix to its clinical picture and course in the patient is a subject of controversy. The objective is to study the correlation between anatomical position of app...
PREVALENCE OF ARSENICOSIS AND ITS RELATION TO DRINKING WATER IN TITABOR BLOCK OF JORHAT DISTRICT, ASSAM, INDIA
BACKGROUND Human health effects due to chronic exposure of arsenic from drinking water is a major public health problem worldwide including India. In Assam, the arsenic level in groundwater of Titabor block of Jorhat dis...