EVALUATION OF THE USE OF ULTRASONICALLY ACTIVATED SCALPEL FOR SAFE AND EFFICIENT THYROIDECTOMY
|Full paper||Not Available|
Objective:This prospective study was designed to evaluate the feasibility and outcome of thyroidectomy using Ultrasonically Activated Scalpel (UAS) in comparison to the conventional thyroidectomy. Patients and Methods: This study comprised 40 patients with mean age 41.4±9 years, divided into two groups: Group A comprised 25 patients underwent thyroidectomy using UAS and 15 patients underwent conventional thyroidectomy (Group B). Both groups were compared as regards operating time, operative blood loss (=weight of wet spongesweight of dry sponges), postoperative seroma formation and surgeons' satisfaction regarding the ease of dissection, need of blood vessel ligation and dryness of the surgical field. Results: Mean operative time was significantly shorter in group A (77±5.8 minutes) compared to group B, (105.7±6.5 minutes) especially in cases with primary thyrotoxicosis and cancer thyroid. Intraoperative blood loss showed a significant (I)<0.05) reduction in group A, (85±5.4 gm) compared to group B (I25.3±7.8 gm). There was a positive significant correlation between the reduction of intraoperative blood loss and operating time in both groups despite being more significant in group B. Mean total surgeons' satisfaction scores showed a significant difference in favor of satisfaction by using UAS. Conclusion: It could be concluded that the use of Ultrasonically Activated Scalpel for thyroidectomy is feasible and could minimize intraoperative bleeding with shorter duration of surgery and had achieved significant surgeons' satisfaction . - Keywords: Ultrasonically Activated Scalpel , thyroidectomy .