Total thyroidectomy: Conventional suture ligation technique versus sutureless techniques, Sohag experince

Q4 Medicine

Egyptian Journal of Ear, Nose, Throat and Allied Sciences Pub Date : 2021-01-01 DOI:10.21608/ejentas.2020.48292.1275

Islam A. Amer, A. Saleem, Osama Abd Elraheem

{"title":"Total thyroidectomy: Conventional suture ligation technique versus sutureless techniques, Sohag experince","authors":"Islam A. Amer, A. Saleem, Osama Abd Elraheem","doi":"10.21608/ejentas.2020.48292.1275","DOIUrl":null,"url":null,"abstract":"ABSTRACT Background: The thyroid gland is one of the highly vascular tissues in the body. Hemostasis is one of the important and essential components of the procedure. Nowadays with the widespread use of energy instruments like ultrasonic coagulation (Harmonic Scalpel, Ethicon) and bipolar control (LigaSure, Valleylab) or cutting and hemostasis which integrates new approaches to vessel ligation and division without increase the postoperative complications. In a prospective comparative analysis of open complete thyroidectomy, this work aimed to examine the effect of modern suture ligation procedures using the Harmonic ® process in comparison with conventional suture ligation. Patients and Methods: This was a prospective comparative analysis at Maxillofacial, Head, and Neck Surgery Unite in the General Surgery Department, Faculty of Medicine, Sohag University in Sohag, Egypt. The patients were divided into two groups; the first group included patients operated with the Harmonic ® Focus or Sutureless Thyroidectomy (S technique), and the second group included patients receiving traditional thyroidectomy (C group). Results: Between September 2016 and September 2019 92 patients with thyroid disorder were registered for this research. Fifty patients (54.3 percent) had complete sutureless thyroidectomy and 42 patients (45.6 percent) had conventional complete thyroidectomy, mean sutureless thyroidectomy age was (42.53) years, and typical group age was (45.74) years. Duration of operation: blood loss Intraoperative and postoperative, drain, transient hypocalcemia, general postoperative complications, and hospital stay were considerably lower in the Sutureless Thyroidectomy group. No significant difference between the two groups concerning the laryngeal nerve's recurring function. Conclusion: Sutureless thyroidectomy is the recommended treatment for treating most thyroid disorders, because it has had reduced operation time, reduced clinical complications incidence, and successful operating outcomes. Harmonic Concentration (HF) is a safe, reliable, and time-saving strategy.","PeriodicalId":37983,"journal":{"name":"Egyptian Journal of Ear, Nose, Throat and Allied Sciences","volume":"42 1","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"2","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Egyptian Journal of Ear, Nose, Throat and Allied Sciences","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.21608/ejentas.2020.48292.1275","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}

引用次数: 2

Abstract

ABSTRACT Background: The thyroid gland is one of the highly vascular tissues in the body. Hemostasis is one of the important and essential components of the procedure. Nowadays with the widespread use of energy instruments like ultrasonic coagulation (Harmonic Scalpel, Ethicon) and bipolar control (LigaSure, Valleylab) or cutting and hemostasis which integrates new approaches to vessel ligation and division without increase the postoperative complications. In a prospective comparative analysis of open complete thyroidectomy, this work aimed to examine the effect of modern suture ligation procedures using the Harmonic ® process in comparison with conventional suture ligation. Patients and Methods: This was a prospective comparative analysis at Maxillofacial, Head, and Neck Surgery Unite in the General Surgery Department, Faculty of Medicine, Sohag University in Sohag, Egypt. The patients were divided into two groups; the first group included patients operated with the Harmonic ® Focus or Sutureless Thyroidectomy (S technique), and the second group included patients receiving traditional thyroidectomy (C group). Results: Between September 2016 and September 2019 92 patients with thyroid disorder were registered for this research. Fifty patients (54.3 percent) had complete sutureless thyroidectomy and 42 patients (45.6 percent) had conventional complete thyroidectomy, mean sutureless thyroidectomy age was (42.53) years, and typical group age was (45.74) years. Duration of operation: blood loss Intraoperative and postoperative, drain, transient hypocalcemia, general postoperative complications, and hospital stay were considerably lower in the Sutureless Thyroidectomy group. No significant difference between the two groups concerning the laryngeal nerve's recurring function. Conclusion: Sutureless thyroidectomy is the recommended treatment for treating most thyroid disorders, because it has had reduced operation time, reduced clinical complications incidence, and successful operating outcomes. Harmonic Concentration (HF) is a safe, reliable, and time-saving strategy.

查看原文本刊更多论文

甲状腺全切除术:传统缝合结扎技术与无缝合技术，Sohag经验

摘要背景:甲状腺是机体中维管含量较高的组织之一。止血是手术过程中重要和必要的组成部分之一。如今，随着超声凝血(Harmonic Scalpel, Ethicon)和双极控制(LigaSure, Valleylab)等能量器械的广泛使用，或将血管结扎和分裂的新方法整合到切割和止血中，而不会增加术后并发症。在一项开放性全甲状腺切除术的前瞻性比较分析中，本研究旨在研究使用Harmonic®工艺的现代缝合结扎手术与传统缝合结扎手术的效果。患者和方法:这是一项来自埃及Sohag大学医学院普通外科颌面、头颈外科联合医院的前瞻性比较分析。患者分为两组;第一组为采用Harmonic®Focus或无缝合甲状腺切除术(S技术)的患者，第二组为采用传统甲状腺切除术(C组)的患者。结果:2016年9月至2019年9月期间，有92名甲状腺疾病患者登记参加了这项研究。50例(54.3%)行完全无缝甲状腺切除术，42例(45.6%)行常规完全甲状腺切除术，平均年龄(42.53)岁，典型组年龄(45.74)岁。手术时间:术中、术后出血量、引流、一过性低血钙、术后一般并发症、住院时间均明显低于无缝合甲状腺切除术组。两组间喉神经循环功能无明显差异。结论:无缝线甲状腺切除术具有手术时间短、临床并发症少、手术效果好等优点，是大多数甲状腺疾病的推荐治疗方法。谐波集中(HF)是一种安全、可靠、省时的策略。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Egyptian Journal of Ear, Nose, Throat and Allied Sciences Medicine-Otorhinolaryngology

CiteScore

0.20

自引率

0.00%

发文量

期刊介绍： Egyptian Journal of Ear, Nose, Throat and Allied Sciences aspires to play a national, regional and international role in the promotion of responsible and effective research in the field of Otolaryngology, Head and Neck Surgery in Egypt, Middle East and Africa. Mission To encourage and support research in Ear, Nose and Throat (ENT) field and interdisciplinary topics To implement high-quality editorial practices among Otolaryngologists To upgrade the ability and experience of local doctors in international publishing To offer professional publishing support to local researchers, creating a supportive network for career development To highlight ENT diseases and problems peculiar to our region To promote research in endemic, hereditary and infectious ENT problems related to our region To expose and study impact of ethnic, social, environmental and cultural issues on expression of different ENT diseases To organize common epidemiologic research of value to the region To provide resource to national and regional authorities about problems in the field of ENT and their implication on public health and resources To facilitate exchange of knowledge in our part of the world To expand activities with regional and international scientific societies.