Abstract
Comparing the Efficacy and Surgical Outcomes of Harmonic® Scalpel vs LigaSure™ Small Jaw in Thyroid and Parathyroid Surgery
Journal of the American College of Surgeons, Vol.223(4), pp.e95-e95
10/2016
DOI: 10.1016/j.jamcollsurg.2016.08.241
Abstract
Introduction
Location and rich vascularity of thyroid gland poses a challenge for a surgeon to achieve good hemostasis and minimize postoperative complications. This study aims to compare LSJ vs HF in terms of operative time, intraoperative blood loss, RLN injury, and postoperative complications.
Methods
This study was conducted under IRB approved protocol to compare efficacy of LSJ vs the HF. We evaluated (530) patients who underwent surgery by a surgeon at a North American academic institution. Patients were allocated into 2 groups according to LSJ or HF use. All patients underwent vocal cord assessment using laryngoscopy preoperatively and postoperatively.
Results
Five hundred thirty patients were randomized into 2 groups (HF group, N = 206 (38.86 %) LSJ instrument group, N = 324(61.13 %)). Seven (2.16%) LSJ patients developed transient postoperative hypocalcaemia compared to 17 (8.25%) patients in HF group (p ≤ 0.002). Operative times were not significantly different (HF 122.4 ±46.94 min vs. LSJ 117.8 ±55.41 min; p = 0.09). The LSJ use was associated with slightly more intraoperative Bood loss when compared to HF (LSJ 17.95 ±52.38 ml vs HF 15.75±17.04 ml; p= 0.24). no significant difference in rate of transient laryngeal nerve injury between both groups (LSJ: 3.70% vs HF: 5.34%; p= 0.39. Overall postoperative complications rate was similar (LSJ: 15.17% vs HF 20.90%; p= 0.11).
Conclusions
Both Ligasure™ and Harmonic® procedures provide surgeons ergonomics and no significant differences were shown in operative time and rate of complications. However there is a trend for transient postoperative hypocalcemia in patients operated using HF compared to those with LSJ.
Details
- Title: Subtitle
- Comparing the Efficacy and Surgical Outcomes of Harmonic® Scalpel vs LigaSure™ Small Jaw in Thyroid and Parathyroid Surgery
- Creators
- Taha A. Hassoon - Tulane Medical CenterFadi Murad - Tulane UniversityDaniah Bu Ali - Tulane UniversityMuhammad Anwar - Tulane Medical CenterRoostam Kholmatov - Tulane UniversityZaid Al-QurayshiRizwan Aslam - Tulane UniversityEmad Kandil - Tulane University
- Resource Type
- Abstract
- Publication Details
- Journal of the American College of Surgeons, Vol.223(4), pp.e95-e95
- Publisher
- ELSEVIER SCIENCE INC
- DOI
- 10.1016/j.jamcollsurg.2016.08.241
- ISSN
- 1072-7515
- eISSN
- 1879-1190
- Language
- English
- Date published
- 10/2016
- Academic Unit
- Otolaryngology
- Record Identifier
- 9984702896602771
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