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Parathyroid hormone level after total thyroidectomy using conventional versus harmonic focus technique: Prospective randomized study
Total thyroidectomy is a common procedure, we wish to examine the effects of utilizing a harmonic scalpel with traditional procedures on parathyroid hormone levels. 100 patients who underwent total thyroidectomy at the Department of General Surgery, were enrolled in this prospective randomized study...
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Published in: | Annals of medicine and surgery 2022-01, Vol.73, p.103176-103176, Article 103176 |
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container_title | Annals of medicine and surgery |
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creator | Elhady, Hany Abdelfatah Abd Elghany, Rasha Abd Elaziz Zarad, Mohammed Shehata |
description | Total thyroidectomy is a common procedure, we wish to examine the effects of utilizing a harmonic scalpel with traditional procedures on parathyroid hormone levels.
100 patients who underwent total thyroidectomy at the Department of General Surgery, were enrolled in this prospective randomized study, were randomly allocated into two equal groups: Group I: total thyroidectomy using a harmonic scalpel (HS) and Group II: total thyroidectomy using conventional technique.
There is a significant association between the technique of surgery and the decrease in Postoperative PTH, Mean Difference, Pre and Postoperative and the change Pre PTH (p-value |
doi_str_mv | 10.1016/j.amsu.2021.103176 |
format | article |
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100 patients who underwent total thyroidectomy at the Department of General Surgery, were enrolled in this prospective randomized study, were randomly allocated into two equal groups: Group I: total thyroidectomy using a harmonic scalpel (HS) and Group II: total thyroidectomy using conventional technique.
There is a significant association between the technique of surgery and the decrease in Postoperative PTH, Mean Difference, Pre and Postoperative and the change Pre PTH (p-value <0.001).
The postoperative serum level of parathyroid hormone declined significantly after thyroidectomy if the conventional method was used. Using HS during thyroidectomy is safe and effective with low rates of hypoparathyroidism.
•In treatment of many thyroid disease, total thyroidectomy is a viable option.•The biggest disadvantage is the potential for complications, but it also avoids recurrence.•Hypoparathyroidism after thyroid surgery is a common problem.•Using a harmonic scalpel may help to decrease the reduction in parathyroid hormone levels after surgery.</description><identifier>ISSN: 2049-0801</identifier><identifier>EISSN: 2049-0801</identifier><identifier>DOI: 10.1016/j.amsu.2021.103176</identifier><identifier>PMID: 34987791</identifier><language>eng</language><publisher>England: Elsevier Ltd</publisher><subject>Hypoparathyroidism ; Parathyroid hormone and harmonic ; Randomised Controlled Trial ; Thyroidectomy</subject><ispartof>Annals of medicine and surgery, 2022-01, Vol.73, p.103176-103176, Article 103176</ispartof><rights>2021 The Authors</rights><rights>2021 The Authors.</rights><rights>2021 The Authors 2021</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c455t-6fe5fa9ca34db98d8efc4988afccc639b5503b4da3eec033927e5c6ded1ee8c03</citedby><orcidid>0000-0002-4836-2022 ; 0000-0001-8438-0386 ; 0000-0001-9200-1817</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8693406/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S2049080121011262$$EHTML$$P50$$Gelsevier$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,3549,27924,27925,45780,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34987791$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Elhady, Hany Abdelfatah</creatorcontrib><creatorcontrib>Abd Elghany, Rasha Abd Elaziz</creatorcontrib><creatorcontrib>Zarad, Mohammed Shehata</creatorcontrib><title>Parathyroid hormone level after total thyroidectomy using conventional versus harmonic focus technique: Prospective randomized study</title><title>Annals of medicine and surgery</title><addtitle>Ann Med Surg (Lond)</addtitle><description>Total thyroidectomy is a common procedure, we wish to examine the effects of utilizing a harmonic scalpel with traditional procedures on parathyroid hormone levels.
100 patients who underwent total thyroidectomy at the Department of General Surgery, were enrolled in this prospective randomized study, were randomly allocated into two equal groups: Group I: total thyroidectomy using a harmonic scalpel (HS) and Group II: total thyroidectomy using conventional technique.
There is a significant association between the technique of surgery and the decrease in Postoperative PTH, Mean Difference, Pre and Postoperative and the change Pre PTH (p-value <0.001).
The postoperative serum level of parathyroid hormone declined significantly after thyroidectomy if the conventional method was used. Using HS during thyroidectomy is safe and effective with low rates of hypoparathyroidism.
•In treatment of many thyroid disease, total thyroidectomy is a viable option.•The biggest disadvantage is the potential for complications, but it also avoids recurrence.•Hypoparathyroidism after thyroid surgery is a common problem.•Using a harmonic scalpel may help to decrease the reduction in parathyroid hormone levels after surgery.</description><subject>Hypoparathyroidism</subject><subject>Parathyroid hormone and harmonic</subject><subject>Randomised Controlled Trial</subject><subject>Thyroidectomy</subject><issn>2049-0801</issn><issn>2049-0801</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><recordid>eNp9UU1r3DAQFaWlCUn-QA5Fx152K1m2LJdSKKFfEEgOzVloR-NYiy1tJdmwPfeHV8tuQ3rpSdLovTfz5hFyzdmaMy7fbddmSvO6YhUvBcFb-YKcV6zuVkwx_vLZ_YxcpbRljHHWCCnVa3Im6k61bcfPye97E00e9jE4S4cQp-CRjrjgSE2fMdIcshnpCYGQw7Snc3L-kULwC_rsgi-ABWOaEx3MQcEB7QOUZ0YYvPs543t6H0PaFb5bkEbjbZjcL7Q05dnuL8mr3owJr07nBXn48vnHzbfV7d3X7zefbldQN01eyR6b3nRgRG03nbIKeyhGlOkBQIpu0zRMbGprBCIwIbqqxQakRcsRValckI9H3d28mdBCmT6aUe-im0zc62Cc_vfHu0E_hkUr2YmaySLw9iQQQ3GVsp5cAhxH4zHMSVeSt1VbNaou0OoIhWI8Reyf2nCmDwnqrT4kqA8J6mOChfTm-YBPlL95FcCHIwDLmhaHUSdw6AGti2W52gb3P_0_6YWzuw</recordid><startdate>20220101</startdate><enddate>20220101</enddate><creator>Elhady, Hany Abdelfatah</creator><creator>Abd Elghany, Rasha Abd Elaziz</creator><creator>Zarad, Mohammed Shehata</creator><general>Elsevier Ltd</general><general>Elsevier</general><scope>6I.</scope><scope>AAFTH</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-4836-2022</orcidid><orcidid>https://orcid.org/0000-0001-8438-0386</orcidid><orcidid>https://orcid.org/0000-0001-9200-1817</orcidid></search><sort><creationdate>20220101</creationdate><title>Parathyroid hormone level after total thyroidectomy using conventional versus harmonic focus technique: Prospective randomized study</title><author>Elhady, Hany Abdelfatah ; Abd Elghany, Rasha Abd Elaziz ; Zarad, Mohammed Shehata</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c455t-6fe5fa9ca34db98d8efc4988afccc639b5503b4da3eec033927e5c6ded1ee8c03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Hypoparathyroidism</topic><topic>Parathyroid hormone and harmonic</topic><topic>Randomised Controlled Trial</topic><topic>Thyroidectomy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Elhady, Hany Abdelfatah</creatorcontrib><creatorcontrib>Abd Elghany, Rasha Abd Elaziz</creatorcontrib><creatorcontrib>Zarad, Mohammed Shehata</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Annals of medicine and surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Elhady, Hany Abdelfatah</au><au>Abd Elghany, Rasha Abd Elaziz</au><au>Zarad, Mohammed Shehata</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Parathyroid hormone level after total thyroidectomy using conventional versus harmonic focus technique: Prospective randomized study</atitle><jtitle>Annals of medicine and surgery</jtitle><addtitle>Ann Med Surg (Lond)</addtitle><date>2022-01-01</date><risdate>2022</risdate><volume>73</volume><spage>103176</spage><epage>103176</epage><pages>103176-103176</pages><artnum>103176</artnum><issn>2049-0801</issn><eissn>2049-0801</eissn><abstract>Total thyroidectomy is a common procedure, we wish to examine the effects of utilizing a harmonic scalpel with traditional procedures on parathyroid hormone levels.
100 patients who underwent total thyroidectomy at the Department of General Surgery, were enrolled in this prospective randomized study, were randomly allocated into two equal groups: Group I: total thyroidectomy using a harmonic scalpel (HS) and Group II: total thyroidectomy using conventional technique.
There is a significant association between the technique of surgery and the decrease in Postoperative PTH, Mean Difference, Pre and Postoperative and the change Pre PTH (p-value <0.001).
The postoperative serum level of parathyroid hormone declined significantly after thyroidectomy if the conventional method was used. Using HS during thyroidectomy is safe and effective with low rates of hypoparathyroidism.
•In treatment of many thyroid disease, total thyroidectomy is a viable option.•The biggest disadvantage is the potential for complications, but it also avoids recurrence.•Hypoparathyroidism after thyroid surgery is a common problem.•Using a harmonic scalpel may help to decrease the reduction in parathyroid hormone levels after surgery.</abstract><cop>England</cop><pub>Elsevier Ltd</pub><pmid>34987791</pmid><doi>10.1016/j.amsu.2021.103176</doi><tpages>1</tpages><orcidid>https://orcid.org/0000-0002-4836-2022</orcidid><orcidid>https://orcid.org/0000-0001-8438-0386</orcidid><orcidid>https://orcid.org/0000-0001-9200-1817</orcidid><oa>free_for_read</oa></addata></record> |
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subjects | Hypoparathyroidism Parathyroid hormone and harmonic Randomised Controlled Trial Thyroidectomy |
title | Parathyroid hormone level after total thyroidectomy using conventional versus harmonic focus technique: Prospective randomized study |
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