Analysis of total thyroidectomy with ligasure small jaw device versus conventional vascular ligature technique

摘要

Introduction: Total thyroidectomy has been considered to be a treatment of choice for thyroidmalignancies. It has recently gained popularity as gold standard for benign thyroid disorders requiringsurgical treatment. There are various techniques to deal with the blood vessels and achieve hemostasis.Objectives of the study: The main objective of the study was to analyse the benefits of using ligasuresmall jaw device versus conventional vascular ligature technique while performing total thyroidectomy.Material and methods: This clinical study was conducted in the department of surgery Central ParkMedical College during the period of January 2018 to June 2019. This study was conducted afterapproval from the ethical committee of hospital. All patients with diagnosis of multinodular goiter,thyroid cancers, retrosternal goiter, and other indications for thyroid surgeries were enrolled. Patientswho had undergone neck surgeries were excluded from the study. Results: The total number of patientsincluded in the study was 102 (n=102). Number of female patients was 45 (88.2%) and 41 (80.3%) ingroups A and B, respectively. In group A frequency of male patients was 9 (17.6%) and in group B itwas 7 (13.7%). The mean age of the patients undergoing surgery was 41.7 ± 7.1 (group A) and 39.4 ±6.7 (group B).The main outcome measures compared were intra operative bleeding, parathyroid injuryand operative time. Conclusion: It is concluded that ligaSure was significantly advantageous overconventional technique in reducing operation time as well as perioperative and postoperative blood lossand parathyroid injury.