Post-thyroidectomy complications. The role of the device: bipolar vs ultrasonic device: Collection of data from 1,846 consecutive patients undergoing thyroidectomy

American Journal of Surgery
Maurizio De PalmaAlessandro Puzziello

Abstract

Specific complications after thyroid surgery, such as recurrent laryngeal nerve injury (RLN) or hypoparathyroidism, are feared because they may give rise to a lifelong disability for the patient. The aim of this study was to evaluate the possible association between the types of device used (bipolar vs ultrasound-based harmonic scalpel defined Harmonic Focus) and major postoperative complications. During a 1-year period, between October 2010 and October 2011, Italian Endocrine Surgery Units affiliated with the Italian Endocrine Surgery Units Association collected data on all consecutive patients older than 18 years who had undergone primary total thyroidectomy, near total thyroidectomy, and completion thyroidectomy. The data were included in a dataset, listing demographic variables, details on the surgical procedure, and 2 major complications of the thyroid surgery: postoperative RLN palsy/hypomobility and hypocalcemia. Our population comprised 1,846 subjects (78.6% women, median age 52 years). Six hundred four (32.7%) subjects underwent thyroidectomy by bipolar forceps and 1,242 (67.3%) by ultrasonic device. The risk of hypocalcemia in subjects undergoing thyroidectomy by ultrasonic device was similar to those undergoing thyro...Continue Reading

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Citations

Feb 22, 2017·American Journal of Surgery·Mehmet Aykut YildirimGurcan Simsek
Dec 2, 2017·Ultrasound Quarterly·Jiayi XingJianchu Li
Jul 25, 2019·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Nadia HuaStephanie Johnson-Obaseki
Jun 11, 2020·The Journal of Laryngology and Otology·A E L McMurranV Kim
Oct 18, 2018·Acta Cirúrgica Brasileira·Octavio Antonio Azevedo da Costa-FilhoJurandir Marcondes Ribas-Filho

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