Surgical Loupe Assisted Total Thyroidectomy Vs Classic Total Thyroidectomy: A Comparative Study | ||||
| Aswan University Medical Journal | ||||
| Volume 4, Issue 2, September 2024, Page 20-27 PDF (541.96 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/aumj.2024.309994.1129 | ||||
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| Authors | ||||
Mohamed Rabie Saad; Abdelrahman Mohamed Ahmed  ; mansor mohammed kabbash; Abdelrahman Kamel; Khaled Abdeen Talha
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| Department of general surgery , faculty of medicine, Aswan University | ||||
| Abstract | ||||
| Total thyroidectomy (TT) is now largely recognized as the most reliable and preferred method for treating thyroid cancer. Purpose: To assess if using a loupe to enlarge the operating field might potentially improve the outcomes of a total thyroidectomy. compared to the traditional procedure in terms of identifying the glands responsible for parathyroid function and maintaining the recurrent laryngeal nerve. Patients and methods: Thirty people took part in this clinical investigation. Underwent thyroidectomy and were randomly divided into two distinct categories in this single-blinded, comparative experiment. Group A consisted of 15 patients who had standard complete thyroidectomy and Group B: included 15 underwent total thyroidectomy using surgical loupe in general surgery department in Aswan university hospital. Results: There was statistically insignificant disparity seen among the analyzed groups in terms of pre-operation thyroid profile, PTH, and calcium levels. The tested groups differed significantly with respect to the amount of time required to complete the procedure, intraoperative bleeding and transient hypocalcemia as 6 cases in group A developed transient hypocalcemia while no cases in group B had transient hypocalcemia, there were insignificant differences between both groups regarding muscle cramps, circumorally numbness or nerve injury, only one case in group A had external laryngeal nerve injury. Conclusion: We found that Surgical Loupe assisted total thyroidectomy had better results in decreasing intraoperative bleeding and minimizing postoperative transient hypocalcemia. Key words: Total thyroidectomy, surgical loupe assisted total thyroidectomy, transient hypocalcemia | ||||
| Keywords | ||||
| Total thyroidectomy; surgical loupe assisted total thyroidectomy; transient hypocalcemia | ||||
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