Use of Harmonic Scalpel in Total Thyroidectomy as Against Conventional Methods
Journal Title: New Indian Journal of Surgery - Year 2018, Vol 9, Issue 2
Abstract
Background and Objectives: Thyroid disorders are frequently encountered at the surgical outpatient department. Harmonic scalpel uses high-frequency mechanical energy to cut and coagulate tissues and vessels simultaneously. In this study, we evaluated the efficiency, safety, and the impact on the surgical outcome of the utilization of harmonic scalpel during total thyroidectomy. Methods: Out of 60 patients included in the study, 30 underwent total thyroidectomy using conventional methods including monopolar/ bipolar cautery and 30 using harmonic scalpel. Post-operative transient hypocalcemia, recurrent laryngeal nerve palsy, drain output and total duration of surgery were compared among the groups. Results: Both the groups had comparable age and sex ratios. The duration of surgery was significantly (p < 0.05) shorter in the harmonic scalpel (97.5±13.75 min) than in the conventional technique group (131.5±21.21 min). Post-operative drain outputat 24 and 48 hours in harmonic scalpel group (23±8.8 ml, 34±8.0 ml) was significantly lower than conventional group (30±5.8ml, 46.33±9.18 ml)(p <0.05). The incidence of transient hypocalcemia was significantly more (p<0.05) in conventional (n= 6) group as compared to harmonic group (n=1). Hoarseness of voice associated with recurrent laryngeal nerve injury was observed in three patients in conventional group. Hoarseness of voice was not observed in patients of harmonic scalpel group. Conclusion: Use of harmonic scalpel in thyroidectomy is safe and effective and lowers incidence of post-operative complications, shorter operative time, and lower drain output.
Authors and Affiliations
Rajkumar P. N.
Adult Female Lump Abdomen
Intussusception is commonly seen in pediatric age group and is rare in adults. Adults with intusussusception present with non specific symptoms and diagnosis is made by imaging. Most of the times the treatment requires r...
Predictive Value of Serum C- Reactive Protein in Diagnosis of Acute Appendicitis and Comparision with Alvarado Score
Introduction: The morbidity and mortality rates associated with appendicitis are greatly increased when perforation ensues, wound infection rates increases, intraabdominal abscess formation increases 15 fold and mortalit...
Clinical Study of Postoperative Surgical Site Infection in a Tertiary Care Centre
Introduction: Surgical site infection is one of the most common postoperative complications that causes significant postoperative morbidity and mortality leading to prolonged hospital stay and increases cost. About 25-30...
Usefulness of Mannheim’s Peritonitis Index Screening System in Predicting Outcome in Patients with Peritonitis
“Peritonitis is an inflammation of the peritoneum, the thin tissue that lines the inner wall of the abdomen and covers most of the abdominal organs. Peritonitis may be localized or generalized, and may result from infect...
Ligation of Intersphincteric Fistula Tract (LIFT): Outcome and Continence Issues in Complex Anal Fistula
Intruduction: Ligation of the intersphincteric fistula tract (LIFT) is a new sphincter-sparing procedure for anal fistula. The success rate is comparable with other sphincter-preserving techniques. The objective of the s...