Comparison of postoperative bleeding using harmonic scalpel and LigaSure in thyroid surgery: a 15-year single-centre retrospective study

Charalampos Kaplanis; Marina Michalaki; Konstantinos Bouchagier; Ioannis Maroulis; Dimitrios Filis; Vasileios Leivaditis; Ioannis Panagiotopoulos; Nikolas Drakos; Angelos Samaras; Andreas Antzoulas; Francesk Mulita; Dimitrios Kehagias; Christos Tsilivigkos; Fotios Iliopoulos; Konstantinos Tasios; Levan Tchabashvili; Vasileios Papanikos; Elias Liolis; Georgios-Ioannis Verras; George Theofanis

doi:10.17392/1629-23

Review paper

Received: 11.03.2023. >> Accepted: 30.05.2023. >> Published: 01.12.2022. Biochemistry

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https://doi.org/10.17392/1629-23

Comparison of postoperative bleeding using harmonic scalpel and LigaSure in thyroid surgery: a 15-year single-centre retrospective study

Abstract

Aim
Thyroidectomy is the most common operation in the field of endocrine surgery. The aim of this study was to compare the use of LigaSure vessel (LS) and harmonic scalpel (HS) in 1653 total thyroidectomies between January 2008 and March of 2023, with regards to analysis of surgical bleeding complications duration the hospital stay and operative surgical time.
Methods
It is a retrospective analysis of a prospectively maintained database. Patients have been categorized into two groups:
Group A included 718 patients from January 2008 to May 2013 when LS was used, and the Group B included 935 patients from June 2013 to March 2023 when HS was used.
Results
From the total of 14 postoperative bleeding cases that occurred in patients of Group A, only in 4 of them it was necessary
to have a reoperation. The other 10 cases involved minor haemorrhages, while from the total of 6 postoperative bleeding cases that happened to patients of Group B, there were 4 cases that needed a reoperation (p-value >0.05) and 2 patients with minor haemorrhages. The postoperative evaluation of minor bleedings revealed statistically significant differences between the two groups (p-value < 0.05). The average hospital stay was similar in the two groups.
Conclusion
Both devices exhibit identical safety profiles in thyroidectomies specifically regarding major bleeding complications
that require reoperation. Additionally, HS was found to be more effective at achieving haemostasis, especially in the subgroup of patients with thyroid carcinoma. The results of the present study may be useful for high-volume centres performing numerous thyroidectomies every day.

Keywords:

bleeding,

complications,

LigaSure,

thyroidectomy,

UltraCision

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Comparison of postoperative bleeding using harmonic scalpel and LigaSure in thyroid surgery: a 15-year single-centre retrospective study

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