A comparative study between sutureless total thyroidectomy by harmonic scalpel and traditional method (clamp and tie)

• Published in: Al-Azhar Assiut medical Journal : AAMJ 2020-01, Vol.18 (1), p.98-103
• Main Authors: Abd Elghany, Rasha Abd, Zarad, Mohammed
• Format: Article
• Language: English
• Subjects: harmonic scalpel; total thyroidectomy; traditional methods (clamp and tie)
• ISSN: 1687-1693; 2536-9652
• DOI: 10.4103/AZMJ.AZMJ_131_19

Objective The objective of our study is to compare the outcome of sutureless total thyroidectomy performed by the focus harmonic scalpel (HS) versus operations that were performed with the traditional technique (clamp and tie). Study design This is a prospective randomized clinical trial that has been carried out at the Department of General Surgery, Al-Zahraa University Hospital. Patients and methods This clinical trial was carried out between April 2016 and April 2019. In all, 200 patients who underwent total thyroidectomy were randomly divided into two equal groups : group A (100 patients) underwent total thyroidectomy with HS and group B (100 patients) underwent total thyroidectomy with the traditional hemostatic method ligation with clamp and tie. Results The intraoperative time was significantly shorter in the HS group (A) than in the traditional hemostasis group (B); intraoperative blood loss and total fluid drainage volume were lower in the HS group (A) than the traditional hemostasis group (B). Postoperative bleeding was observed in five (5%) patients in the traditional hemostatic group (B), versus two (2%) patients in the HS group (A). Postoperative seroma was observed in only four patients in the traditional thyroidectomy group. Conclusion HS in total thyroidectomy significantly reduces intraoperative time, intraoperative blood loss, drainage volume, and postoperative complications.