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Comparative Studies | General Surgery | India | Volume 13 Issue 5, May 2024 | Rating: 5 / 10
A Comparative Study of Harmonic Scalpel and Conventional Ligature in Open Thyroid Surgeries: Randomised Control Study
Dr Sanjay R Gowda | Dr Chandan L | Dr Eshwar B Kalburgi
Abstract: Introduction: Thyroidectomy is a surgical procedure that requires meticulous dissection, safe anatomical exposure and effective homeostasis. This study aims at comparing harmonic scalpel in enabling efficient haemostatic coagulation and division of small vessels with conventional suture ligation in open thyroid surgeries. Methodology: Randomised control study. A total of 50 patients underwent various open thyroid surgeries in the department of general surgery in S N Medical college, Bagalkot. They were randomly allocated into control group who underwent open thyroid surgeries with conventional ligation and cases group who underwent open thyroid surgeries with harmonic scalpel. Both groups were compared with respect to operating time, amount of blood lost, amount of drainage fluid, recurrent laryngeal nerve injury and number of hospital stay. Results: The operative time was significantly greater in control group with mean operating time of 113 mins compared to cases group with a mean operating time of 94 mins. Intra - operative blood loss was almost the same in both control and cases. Volume of drainage fluid was significantly greater in control group with mean volume of 49ml compared to cases group with mean volume of 34ml. Recurrent laryngeal nerve injury was same compared to both cases and control group. Hospital stay was significantly greater in control group compared to cases group. Conclusion: This study shows that Open thyroid surgeries with harmonic scalpel for dissection and vessel ligation was significantly better than conventional ligature with sutures with respect to operating time, volume of drainage fluid and days of hospital stay and showed no changes compared to blood loss and recurrent laryngeal nerve injury.
Keywords: Thyroid surgery, harmanic scalpel
Edition: Volume 13 Issue 5, May 2024,
Pages: 1782 - 1787