THE USE OF FOCUS ULTRACISION SCALPEL VERSUS KNOT TYING FOR OPEN THYROIDECTOMY: A PROSPECTIVE RANDOMIZED STUDY
Ghazy, H., Awad, I., Omar, W. (2010). THE USE OF FOCUS ULTRACISION SCALPEL VERSUS KNOT TYING FOR OPEN THYROIDECTOMY: A PROSPECTIVE RANDOMIZED STUDY. EKB Journal Management System, 29(3), 126-131. doi: 10.21608/ejsur.2010.367560
Hosam Ghazy; Ibrahim Awad; Waleed Omar. "THE USE OF FOCUS ULTRACISION SCALPEL VERSUS KNOT TYING FOR OPEN THYROIDECTOMY: A PROSPECTIVE RANDOMIZED STUDY". EKB Journal Management System, 29, 3, 2010, 126-131. doi: 10.21608/ejsur.2010.367560
Ghazy, H., Awad, I., Omar, W. (2010). 'THE USE OF FOCUS ULTRACISION SCALPEL VERSUS KNOT TYING FOR OPEN THYROIDECTOMY: A PROSPECTIVE RANDOMIZED STUDY', EKB Journal Management System, 29(3), pp. 126-131. doi: 10.21608/ejsur.2010.367560
Ghazy, H., Awad, I., Omar, W. THE USE OF FOCUS ULTRACISION SCALPEL VERSUS KNOT TYING FOR OPEN THYROIDECTOMY: A PROSPECTIVE RANDOMIZED STUDY. EKB Journal Management System, 2010; 29(3): 126-131. doi: 10.21608/ejsur.2010.367560

THE USE OF FOCUS ULTRACISION SCALPEL VERSUS KNOT TYING FOR OPEN THYROIDECTOMY: A PROSPECTIVE RANDOMIZED STUDY

The Egyptian Journal of Surgery
Volume 29, Issue 3, July 2010, Page 126-131  XML PDF (1.2 MB)
Document Type: Original Article
DOI: 10.21608/ejsur.2010.367560
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Authors
Hosam Ghazy email 1; Ibrahim Awad1; Waleed Omar2
1General Surgery Department, Faculty of Medicine, Mansoura University, Egypt
2Vascular surgery unit, Faculty of Medicine, Mansoura University, Egypt
Abstract
Aim: This study aimed at comparing the safety of the focus harmonic scalpel (HS) during conventional 
“open” thyroidectomy (CT) versus knot tying technique (KT). 
Methods: Forty-six patients scheduled for conventional total thyroidectomy (TT) were included in the study 
and randomly assigned to TT with the use of HS (HS group 23 patients) or with knot tying technique (KT 
group 23 patients).
Results: Mean operative time was significantly shorter in the HS group (P < 0.001). There were reduction in 
the post-operative complications. The number of patients in whom a drain was used was lower in HS than 
CT groups (10 vs 23, P < 0.001= S). The total drainage fluid volume was lower in HS than in CT (40.4 ±35.4 
vs 46.1 ± 40.1ml respectively, P= NS).
Conclusions: HS is a safe alternative to KT, allowing for a significant reduction of operative time without 
increasing complications rate.
Keywords
Harmonic scalpel; Thyroid; safe surgery
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