Comparison of postoperative bleeding using harmonic scalpel and LigaSure in thyroid surgery: a 15-year single-centre retrospective study
- Francesk Mulita
(University General Hospital of Patras, Patras, Department of General Surgery, Greece)
- George Theofanis (University General Hospital of Patras, Patras, Department of Endocrinology, Greece)
- Georgios-Ioannis Verras (University General Hospital of Patras, Patras, Department of General Surgery, Greece)
- Elias Liolis (University General Hospital of Patras, Patras, Department of General Surgery, Greece)
- Vasileios Papanikos (University General Hospital of Patras, Patras, Department of General Surgery, Greece)
- Levan Tchabashvili (University General Hospital of Patras, Patras, Department of Cardiothoracic Surgery, Greece)
- Konstantinos Tasios (University General Hospital of Patras, Patras, Department of Cardiothoracic Surgery, Greece)
- Fotios Iliopoulos (University General Hospital of Patras, Patras, Department of General Surgery, Greece)
- Christos Tsilivigkos (University General Hospital of Patras, Patras, Department of General Surgery, Greece)
- Dimitrios Kehagias (University General Hospital of Patras, Patras, Department of General Surgery, Greece)
- Charalampos Kaplanis (University General Hospital of Patras, Patras, Department of General Surgery, Greece)
- Andreas Antzoulas (University General Hospital of Patras, Patras, Department of General Surgery, Greece)
- Angelos Samaras (University General Hospital of Patras, Patras, Department of General Surgery, Greece)
- Nikolas Drakos (General University Hospital of Patras, Patras, Department of General Surgery, Greece)
- Ioannis Panagiotopoulos (General University Hospital of Patras, Patras, Department of General Surgery, Greece)
- Vasileios Leivaditis (General University Hospital of Patras, Patras, Department of General Surgery, Greece)
- Dimitrios Filis (General University Hospital of Patras, Patras, Department of Otorhinolaryngology, Greece)
- Ioannis Maroulis (University General Hospital of Patras, Patras, Department of Oncology, Greece)
- Konstantinos Bouchagier (University General Hospital of Patras, Patras, Department of Surgery, Greece)
- Marina Michalaki (University General Hospital of Patras, Patras, Department of General Surgery, Greece)
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
How to Cite:
Mulita, F., Theofanis, G., Verras, G., Liolis, E., Papanikos, V., Tchabashvili, L., Tasios, K., Iliopoulos, F., Tsilivigkos, C., Kehagias, D., Kaplanis, C., Antzoulas, A., Samaras, A., Drakos, N., Panagiotopoulos, I., Leivaditis, V., Filis, D., Maroulis, I., Bouchagier, K. & Michalaki, M., (2023) “Comparison of postoperative bleeding using harmonic scalpel and LigaSure in thyroid surgery: a 15-year single-centre retrospective study”, Medicinski glasnik 20(2), 229-234. doi: https://doi.org/10.17392/1629-23
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