outcoine Of thyroidectomy using Ultrasonically Activated Scalpel (UAS) in
comparison to the conventional thyroidectomy.
Patients and Methods: This study comprised 40 patients with mean age 41A0
years, divided into two groups: Group A comprised 25 patients underwent
thyroideetomy using UAS and 15 patients underwent conventional thyroidectomy
(Group B). Both groups were compared as regards operating time, operative blood
loss (=weight of wet sponges-weight 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 (775-8 minutes)
compared to group 6, (105.76.5 minutes) especially in cases with primary
thyrotoxicosis and cancer thyroid. Intraoperative blood loss showed a significant
(P<0.05) reduction in group A, (855.4 gm) compared to group B (125.37.8 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 thyroideetomy is feasible and could minimize intraoperative bleeding with shorter
duration of surgery and had achieved significant surgeons' satisfact |
