Comparative Study of Early Postoperative Complications Between Vessel Sealing System Device and Conventional Suture Ligation in Total Thyroidectomy
Keywords:
Vessel sealing system device, Conventional method, Postoperative complications of thyroidectomyAbstract
Background: The imperative to ensure the safety of thyroid surgery and to reduce its adverse effects motivates surgeons to explore novel technologies. The vessel sealing system device (VSSD) (Ethicon Endosurgery) was introduced into the surgeon's armamentarium almost two decades ago. The objective of this study was to compare the incidence of early postoperative complications (including bleeding, hypocalcaemia, recurrent laryngeal nerve injury, and operative time) between conventional suture ligation and the sealing vessel device in a cohort of approximately 126 cases at Baghdad Teaching Hospital/Medical City. Patients and Methods: A prospective cohort study was conducted on patients who underwent total thyroidectomy by two techniques (conventional suture ligation and the vessel sealing system device) at Baghdad Teaching Hospital and Medical City. The study aimed to compare the incidence of early postoperative complications, including hypocalcaemia, bleeding, and recurrent laryngeal nerve injury, between the two techniques. The results demonstrated that the vessel sealing system significantly reduced the operative time, postoperative hypocalcaemia, and bleeding. Additionally, the risk of recurrent laryngeal nerve injury was reduced, although this was not statistically significant in comparison with conventional suture ligation. In conclusion, the vessel sealing system is a reliable and safe tool for reducing operative time and postoperative hypocalcaemia and bleeding.
References
Ikeda Y, Takami H, Sasaki Y, Takayama J, Kurihara H. Are there significant benefits of minimally invasive endoscopic thyroidectomy? World J Surg. 2004; 28:1075–1078. doi: 10.1007/s00268-004-7655-2.
Ciuni R., Biondi A., Giunta M.D., Basile F., Ciuni S. Total thyroidectomy vs subtotal thyroidectomy for plurinodular goiter. Analysis 1.517 cases. Ann. Ital. Chir. 2010; 81:9–12.
Inabnet WB, III, Gagner M. Endoscopic thyroidectomy. J Otolaryngol. 2001; 30:41–42. Doi: 10.2310/7070.2001.20932.
Fewins J, Simpson CB, Miller FB: complications of thyroid and parathyroid surgery. Otorhynology Clin North Am36:189, 2003.
Seehofer D, Mogl M, Boas-Knoop S, et al. Safety and efficacy of new integrated bipolar and ultrasonic scissors compared to conventional laparoscopic 5-mm sealing and cutting instruments. Surg Endosc. 2012;26 (9):2541–2549. doi: 10.1007/s00464-012-2229-0.
Lenihan J, Kovanda C, Commerano C. Comparison of laparoscopic-assisted vaginal hysterectomy with traditional hysterectomy for cost-effectiveness to employers. Am J Obstet Gynecol. 2004; 190:1714–1722. doi: 10.1016/j.ajog.2004.02.059.
Litta P, Fantinato S, Calonaci F, et al. A randomized controlled study comparing harmonic versus electrosurgery in laparoscopic myomectomy. Fertil Steril. 2010; 94:1882–1886. doi: 10.1016/j.fertnstert.2009.08.049.
Gemsenjäger E. Goiter surgery from Kocher to today. Schweiz Med Wochenschr. 1993;123 (6):207– 213.
Ferri E, Armato E, Spinnato G: Focus harmonic scalpel compared to conventional hemostasis in open total thyroidectomy. International journal of otolaryngology 357195,7 (2011).
Lacoste L, Gineste D, Karayan J, Montaz N, Lehuede MS, Girault M, et al. Airway complications in thyroid surgery. Ann Otol Rhinol Laryngol. 1993 Jun;102 (6):441–446.
Frick T, Largiader F. Perioperative complications in thyroid gland surgery. Langenbecks Arch Chir. 1991 Sep;376 (5):291–294.
Terris DJ, Bonnet A, Gourin CG, Chin E. Minimally invasive thyroidectomy using the Sofferman technique. Laryngoscope. 2005; 115:1104–1108. doi: 10.1097/01.MLG.0000163761.03764.44.
Zakaria H, alwad n, al Sayyah A: Recurrent laryngeal nerve injury in thyroid surgery, Oman Medical Journal 26 (1);34-38 2011.
Hang Cheng, Ireena Soleas, Nicole C. Ferko, Jeffrey W. Clymer, Joseph F. Amaral. A systematic review and meta-analysis of Harmonic Focus in thyroidectomy compared to conventional techniques, Thyroid Res. 2015; 8: 15.
Oktay Yener, corresponding author Mustafa Demir, Ahmet Yılmaz, Rafet Yıgıtbaşı, and Tugba Atak, Author information, Article notes Copyright and License information Harmonic Scalpel Compared to Conventional Hemostasis in Thyroid Surgery
Foreman, S Aspinall, RD Bliss, and TWJ Lennard, The Use of the Harmonic Scalpel in Thyroidectomy: ‘Beyond the Learning Curve. Ann R Coll Surg Engl. 2009 Apr; 91 (3): 214–216
