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- Title
Outcomes of comparative study between ultrasonic harmonic scalpel versus conventional haemostasis in open thyroidectomy.
- Authors
Baloch, M. Naseem; Anwer, Mariyah; Nusrat, Sanam; Naeem, M.; Kumar, Dileep
- Abstract
Introduction: Open thyroidectomy is a surgical procedure that requires meticulous dissection, safe anatomical exposure, and effective hemostasis. Total thyroidectomy is the treatment of choice for many thyroid diseases. This operation is performed frequently, with no mortality and low morbidity. Objective: To compare ultrasonic harmonic scalpel versus conventional hemostasis in open thyroidectomy. Study Design: Randomized control trial Study Setting: General Surgery ward, Jinnah Postgraduate Medical Centre (JPMC), Karachi Study Duration: Six months commenced from 26-08-2013 to 25-02-2014 Subjects and Methods: All patients with age 18-70 years of either gender with benign multinodular goiter of more than 6 months duration and scheduled to undergo open thyroidectomy were included in this study. Two groups "HS" and "CH" were made by opaque sealed envelope method for ultrasonic harmonic scalpel group and conventional hemostasis respectively. Both groups compared in terms of mean duration of surgery, mean amount of blood loss and mean length of hospital stay. Data was analyzed using SPSS version 16 and for comparison of the two groups unpaired t test was used. P value less than or equal to 0.05 was taken as significant. Results: Mean age of the patients was 42.38±17.39 years. Mean duration of disease was 7.37±1.20 months. Mean duration of surgery was 102.27±43.61 minutes. Mean amount of blood loss was 63.14±45.01ml. Mean length of hospital stay was 39.60±15.33 hours. Female proportion was found to be higher, i.e. 42 (60%) whereas, male proportion was 28 (40%). Statistically significant evidence of significant association was observed for duration of surgery, Length of hospital stay and amount of blood loss in between HS group and convention group as p-value founds <0.05. Conclusion: There is a difference in the outcome of ultrasonic harmonic scalpel versus conventional haemostatsis in open thyroidectomy.
- Subjects
THYROIDECTOMY; HEMOSTASIS; ULTRASONIC equipment; BLOOD loss estimation; LENGTH of stay in hospitals
- Publication
Pakistan Journal of Surgery, 2016, Vol 32, Issue 2, p62
- ISSN
0258-8552
- Publication type
Article