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Thyroid surgery: comparison between “ultrasonic scalpel-SonoSurg” and classic “clamp and tie” technique

Year 2015, , 209 - 213, 25.10.2015

Kalin Vidinov Tanio Sechanov

https://doi.org/10.5799/ahinjs.01.2015.03.0520

Abstract

Objective: The purpose of this prospective study was to evaluate the efficacy and safety in the application of ultrasonic scalpel compared to conventional operative technique in open surgery of the thyroid gland.

Methods: The study included 100 patients operated between May 2013 and August 2013. Patients were divided into two groups - 50 patients were operated using SonoSurg® and 50 patients were operated using classic “clamp and Tie” technique. We evaluated and compared the outcome between the two groups.

Results: Both groups had a similar distribution in the demographic features such as gender, age, functional activity and malignant diseases of the thyroid gland. When comparing the results, we found a significant reduction in the duration of surgery in patients operated with SonoSurg® (SST group) (72 ± 20 min vs 100 ± 32 min, p = 0.01). There was no difference for fluid in the vacuum drainage during the first 24 hrs. Hospital stay of patients in both groups was similar - an average of 3 days stay into the clinic.

Conclusion: Our results showed that "ultrasonic scalpel” is an effective, easy to use and completely reliable method for achieving hemostasis with visible advantages over classical operational technique. J Clin Exp Invest 2015; 6 (3): 209-213

Key words: Total thyroidectomy, ultrasonic scalpel, clamp and tie technique

Keywords

Total thyroidectomy ultrasonic scalpel clamp and tie technique

References

  • Hamberger B. History of Thyroid Surgery: The Kocher Incision. In: Linos D, Chung WY, eds. Minimally Invasive Thyroidectomy: Springer Berlin Heidelberg, 2012:1-5.
  • Manouras A, Markogiannakis H, Koutras AS, et al. Thyroid surgery: comparison between the electrothermal bipolar vessel sealing system, harmonic scalpel, and classic suture ligation. American journal of surgery 2008;195:48-52.
  • Prgomet D, Janjanin S, Bilic M, et al. A prospective observational study of 363 cases operated with three different harmonic scalpels. European archives of otorhino-laryngology, 2009;266:1965-1970.
  • Karvounaris DC, Antonopoulos V, Psarras K, et al. Efficacy and safety of ultrasonically activated shears in thyroid surgery. Head & neck, 2006;28:1028-1031.
  • Koyuncu A, Dokmetas HS, Turan M, et al. Comparison of different thyroidectomy techniques for benign thyroid disease. Endocrine ournal 2003;50:723-727.
  • Papalois HN. Complications in endocrine surgery. In: Kekis PB SS, Lynn JA et al., ed. Surgical complications Diagnosis and treatment. London: Imperial College Press, 2007: 505-566.
  • Maheswaran I, Isla A, Lynn J, et al. Haemostasis in Endocrine Surgery. In Hakim N, Canelo R, eds. Haemostasis in Surgery. London: Imperial College Press, 2007:189-211.
  • Rosato L, Avenia N, Bernante P, et al. Complications of thyroid surgery: analysis of a multicentric study on 14,934 patients operated on in Italy over 5 years. World journal of surgery 2004;28:271-276.
  • Kennedy JS, Stranahan PL, Taylor KD, et al. Highburst-strength,
  • feedback-controlled bipolar vessel sealing. Surgical endoscopy 1998;12:876-878.
  • Carlander J, Johansson K, Lindstrom S, et al. Comparison of experimental nerve injury caused by ultrasonically activated scalpel and electrosurgery. Brit J Surg 2005;92:772-777.
  • Diamantis T, Kontos M, Arvelakis A, et al. Comparison of monopolar electrocoagulation, bipolar electrocoagulation, Ultracision, and Ligasure. Surg Today 2006;36:908-913.
  • McCarus SD. Physiologic mechanism of the ultrasonically activated scalpel. J Am Assoc Gynecol Laparoscop 1996;3:601-608.
  • Miccoli P, Materazzi G, Miccoli M, et al. Evaluation of a new ultrasonic device in thyroid surgery: comparative randomized study. Am J Surg 2010;199:736-740.
  • Marchesi M, Biffoni M, Cresti R, et al. [Ultrasonic scalpel in thyroid surgery]. Chirurgia italiana 2003;55:299-308.
  • Lombardi CP, Raffaelli M, Cicchetti A, et al. The use of “harmonic scalpel” versus “knot tying” for conventional “open” thyroidectomy: results of a prospective randomized study. Langenbeck’s Arch Surg
  • ;393:627-631.
  • Sartori PV, De Fina S, Colombo G, et al. Ligasure versus Ultracision in thyroid surgery: a prospective randomized study. Langenbeck’s Arch Surg 2008;393:655-658.

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Year 2015, , 209 - 213, 25.10.2015

Kalin Vidinov Tanio Sechanov

https://doi.org/10.5799/ahinjs.01.2015.03.0520

Abstract

Amaç: Bu prospektif çalışmanın amacı tiroid bezi açık cerrahisinde “ultrasonic scalpel” yönteminin etkinliğini ve güvenirliğini değerlendirmek ve konvansiyonel operasyon tekniği ile karşılaştırmaktır.Yöntemler: Bu çalışma Mayıs 2013 ile Ağustos 2013 arası dönmede opere edilen 100 hastayı içermektedir. Hastalar iki gruba ayrıldı - 5 hasta SonoSurg® tekniği kullanılarak, 50 hasta da klasik “Klemp ve bağlama” tekniği kullanılarak opere edildi. Hasta sonuçlarını değerlendirdik ve iki grup arasında karşılaştırdık.Bulgular: Her iki grup cinsiyet dağılımı ve yaş gibi demografik özellikler ve fonksiyonel aktivite ile tiroid bezinin malign hastalıkları bakımından benzer dağılım gösterdi. Sonuçları kıyasladığımızda, SonoSurg® (SST) ameliyat grubunda cerrahinin süresinde anlamlı kısalma saptadık (72 ± 20 dk. ve 100 ± 32 dk, p = 0,01). 24 saatlik sıvı vakum drenajında iki grup arasında fark yoktu. Her iki grupta hastanede kalış süresi benzerdi, ortalama 3 gün klinikte kaldılar.Sonuç: Sonuçlarımız, “ultrasonic scalpel” yönteminin klasik operasyon tekniğine göre belirgin avantajları ile birlikte hemostazı sağlamada etkin, kolay uygulanabilir ve güvenilir bir yöntem olduğunu gösterdi

Keywords

Total tiroidektomi ultrasonic scalpel klamp ve bağlama tekniği

References

  • Hamberger B. History of Thyroid Surgery: The Kocher Incision. In: Linos D, Chung WY, eds. Minimally Invasive Thyroidectomy: Springer Berlin Heidelberg, 2012:1-5.
  • Manouras A, Markogiannakis H, Koutras AS, et al. Thyroid surgery: comparison between the electrothermal bipolar vessel sealing system, harmonic scalpel, and classic suture ligation. American journal of surgery 2008;195:48-52.
  • Prgomet D, Janjanin S, Bilic M, et al. A prospective observational study of 363 cases operated with three different harmonic scalpels. European archives of otorhino-laryngology, 2009;266:1965-1970.
  • Karvounaris DC, Antonopoulos V, Psarras K, et al. Efficacy and safety of ultrasonically activated shears in thyroid surgery. Head & neck, 2006;28:1028-1031.
  • Koyuncu A, Dokmetas HS, Turan M, et al. Comparison of different thyroidectomy techniques for benign thyroid disease. Endocrine ournal 2003;50:723-727.
  • Papalois HN. Complications in endocrine surgery. In: Kekis PB SS, Lynn JA et al., ed. Surgical complications Diagnosis and treatment. London: Imperial College Press, 2007: 505-566.
  • Maheswaran I, Isla A, Lynn J, et al. Haemostasis in Endocrine Surgery. In Hakim N, Canelo R, eds. Haemostasis in Surgery. London: Imperial College Press, 2007:189-211.
  • Rosato L, Avenia N, Bernante P, et al. Complications of thyroid surgery: analysis of a multicentric study on 14,934 patients operated on in Italy over 5 years. World journal of surgery 2004;28:271-276.
  • Kennedy JS, Stranahan PL, Taylor KD, et al. Highburst-strength,
  • feedback-controlled bipolar vessel sealing. Surgical endoscopy 1998;12:876-878.
  • Carlander J, Johansson K, Lindstrom S, et al. Comparison of experimental nerve injury caused by ultrasonically activated scalpel and electrosurgery. Brit J Surg 2005;92:772-777.
  • Diamantis T, Kontos M, Arvelakis A, et al. Comparison of monopolar electrocoagulation, bipolar electrocoagulation, Ultracision, and Ligasure. Surg Today 2006;36:908-913.
  • McCarus SD. Physiologic mechanism of the ultrasonically activated scalpel. J Am Assoc Gynecol Laparoscop 1996;3:601-608.
  • Miccoli P, Materazzi G, Miccoli M, et al. Evaluation of a new ultrasonic device in thyroid surgery: comparative randomized study. Am J Surg 2010;199:736-740.
  • Marchesi M, Biffoni M, Cresti R, et al. [Ultrasonic scalpel in thyroid surgery]. Chirurgia italiana 2003;55:299-308.
  • Lombardi CP, Raffaelli M, Cicchetti A, et al. The use of “harmonic scalpel” versus “knot tying” for conventional “open” thyroidectomy: results of a prospective randomized study. Langenbeck’s Arch Surg
  • ;393:627-631.
  • Sartori PV, De Fina S, Colombo G, et al. Ligasure versus Ultracision in thyroid surgery: a prospective randomized study. Langenbeck’s Arch Surg 2008;393:655-658.
There are 18 citations in total.

Details

Primary Language English
Journal Section Research Article
Authors

Kalin Vidinov This is me

Tanio Sechanov This is me

Publication Date October 25, 2015
Published in Issue Year 2015

Cite

APA Vidinov, K., & Sechanov, T. (2015). Thyroid surgery: comparison between “ultrasonic scalpel-SonoSurg” and classic “clamp and tie” technique. Journal of Clinical and Experimental Investigations, 6(3), 209-213. https://doi.org/10.5799/ahinjs.01.2015.03.0520
AMA Vidinov K, Sechanov T. Thyroid surgery: comparison between “ultrasonic scalpel-SonoSurg” and classic “clamp and tie” technique. J Clin Exp Invest. November 2015;6(3):209-213. doi:10.5799/ahinjs.01.2015.03.0520
Chicago Vidinov, Kalin, and Tanio Sechanov. “Thyroid Surgery: Comparison Between “ultrasonic Scalpel-SonoSurg” and Classic ‘clamp and tie’ Technique”. Journal of Clinical and Experimental Investigations 6, no. 3 (November 2015): 209-13. https://doi.org/10.5799/ahinjs.01.2015.03.0520.
EndNote Vidinov K, Sechanov T (November 1, 2015) Thyroid surgery: comparison between “ultrasonic scalpel-SonoSurg” and classic “clamp and tie” technique. Journal of Clinical and Experimental Investigations 6 3 209–213.
IEEE K. Vidinov and T. Sechanov, “Thyroid surgery: comparison between “ultrasonic scalpel-SonoSurg” and classic ‘clamp and tie’ technique”, J Clin Exp Invest, vol. 6, no. 3, pp. 209–213, 2015, doi: 10.5799/ahinjs.01.2015.03.0520.
ISNAD Vidinov, Kalin - Sechanov, Tanio. “Thyroid Surgery: Comparison Between “ultrasonic Scalpel-SonoSurg” and Classic ‘clamp and tie’ Technique”. Journal of Clinical and Experimental Investigations 6/3 (November 2015), 209-213. https://doi.org/10.5799/ahinjs.01.2015.03.0520.
JAMA Vidinov K, Sechanov T. Thyroid surgery: comparison between “ultrasonic scalpel-SonoSurg” and classic “clamp and tie” technique. J Clin Exp Invest. 2015;6:209–213.
MLA Vidinov, Kalin and Tanio Sechanov. “Thyroid Surgery: Comparison Between “ultrasonic Scalpel-SonoSurg” and Classic ‘clamp and tie’ Technique”. Journal of Clinical and Experimental Investigations, vol. 6, no. 3, 2015, pp. 209-13, doi:10.5799/ahinjs.01.2015.03.0520.
Vancouver Vidinov K, Sechanov T. Thyroid surgery: comparison between “ultrasonic scalpel-SonoSurg” and classic “clamp and tie” technique. J Clin Exp Invest. 2015;6(3):209-13.