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

BACKGROUND: 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. METHODS: In this study, 778 patients were random...

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Autores principales: Duan, Yun-fei, Xue, Wei, Zhu, Feng, Sun, Dong-lin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3892114/
https://www.ncbi.nlm.nih.gov/pubmed/24359618
http://dx.doi.org/10.1186/1916-0216-42-62
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author Duan, Yun-fei
Xue, Wei
Zhu, Feng
Sun, Dong-lin
author_facet Duan, Yun-fei
Xue, Wei
Zhu, Feng
Sun, Dong-lin
author_sort Duan, Yun-fei
collection PubMed
description BACKGROUND: 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. METHODS: 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. RESULTS: 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). CONCLUSIONS: 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. FOCUS Harmonic Scalpel is supposed to be a more reliable and safe instrument that can take place of the clamp-and-tie technique in total thyroidectomy.
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spelling pubmed-38921142014-01-27 FOCUS harmonic scalpel compared to conventional hemostasis in open total thyroidectomy - a prospective randomized study Duan, Yun-fei Xue, Wei Zhu, Feng Sun, Dong-lin J Otolaryngol Head Neck Surg Original Research Article BACKGROUND: 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. METHODS: 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. RESULTS: 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). CONCLUSIONS: 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. FOCUS Harmonic Scalpel is supposed to be a more reliable and safe instrument that can take place of the clamp-and-tie technique in total thyroidectomy. BioMed Central 2013-12-20 /pmc/articles/PMC3892114/ /pubmed/24359618 http://dx.doi.org/10.1186/1916-0216-42-62 Text en Copyright © 2013 Duan et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Research Article
Duan, Yun-fei
Xue, Wei
Zhu, Feng
Sun, Dong-lin
FOCUS harmonic scalpel compared to conventional hemostasis in open total thyroidectomy - a prospective randomized study
title FOCUS harmonic scalpel compared to conventional hemostasis in open total thyroidectomy - a prospective randomized study
title_full FOCUS harmonic scalpel compared to conventional hemostasis in open total thyroidectomy - a prospective randomized study
title_fullStr FOCUS harmonic scalpel compared to conventional hemostasis in open total thyroidectomy - a prospective randomized study
title_full_unstemmed FOCUS harmonic scalpel compared to conventional hemostasis in open total thyroidectomy - a prospective randomized study
title_short FOCUS harmonic scalpel compared to conventional hemostasis in open total thyroidectomy - a prospective randomized study
title_sort focus harmonic scalpel compared to conventional hemostasis in open total thyroidectomy - a prospective randomized study
topic Original Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3892114/
https://www.ncbi.nlm.nih.gov/pubmed/24359618
http://dx.doi.org/10.1186/1916-0216-42-62
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