FOCUS harmonic scalpel compared to conventional hemostasis in open total thyroidectomy - a prospective randomized study

Journal of Otolaryngology - Head & Neck Surgery = Le Journal D'oto-rhino-laryngologie Et De Chirurgie Cervico-faciale
Yun-fei DuanDong-lin Sun

Abstract

Hemostasis in thyroid surgery is of utmost importance for a successful surgery and an uneventful postoperative course. Our aim was to evaluate the effectiveness of the FOCUS Harmonic Scalpel in patients undergoing open total thyroidectomy. In this study, 778 patients were randomized into 2 groups based on the surgical technique used: group I comprised the conventional clamp-and-tie technique, group II comprised patients in whom the FOCUS Harmonic Scalpel was used exclusively. The groups were compared in regard to surgical time, complications, and hospital stay. Surgical time was significantly lower in group II compared with group I (79 ± 21.5 min vs.125 ± 30.4, respectively, P < 0.001). Twenty-seven patients (6.94%) in group I experienced symptomatic hypocalcemia requiring calcium and/or vitamin D therapy versus 14 patients (3.6%) in group II, with statistically significant difference (P < 0.05). Mean post-operative hospital stay was significantly lower in group II compared with group I (2.6 ± 0.9 vs. 2.9 ± 1.0; P < 0.001). The FOCUS Harmonic Scalpel can shorten operative time and hospital stay, reduce incidence of symptomatic hypocalcemia but not transient hypoparathyroidism, and show no significance on recurrent nerve injury....Continue Reading

References

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Citations

Jan 16, 2016·International Journal of Surgery·Luca RevelliCelestino Pio Lombardi
Sep 10, 2014·Thyroid : Official Journal of the American Thyroid Association·Ramez AntakiaSaba P Balasubramanian
May 26, 2016·Langenbeck's Archives of Surgery·Sam Van SlyckeNele Brusselaers
Aug 3, 2016·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Yingwei LuoWeifeng Sun
Jul 25, 2019·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Nadia HuaStephanie Johnson-Obaseki
Jun 2, 2018·Annals of Surgical Treatment and Research·Hong Kyu KimGianlorenzo Dionigi
Oct 27, 2018·Revista da Associação Médica Brasileira·Felipe Toyama AiresClaudio Roberto Cernea
Jan 29, 2020·BMJ Case Reports·Katherine RadcliffeAjay Wilson
Mar 6, 2021·Expert Review of Medical Devices·Eleftherios SpartalisTheodore Troupis
Aug 21, 2021·Annals of the Royal College of Surgeons of England·E SpartalisT Troupis

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Methods Mentioned

BETA
dissection
dissects

Software Mentioned

SPSS
FOCUS

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