Energy Devices in Thyroidectomy: A Safe and Effective Alternative to Conventional Methods
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Abstract
Objective: The most feared complications of thyroid surgery, which is one of the most performed operations of endocrine surgery, are hoarseness due to recurrent nerve damage and hematoma formation in the neck. With the advancement of technology, the use of energy devices has increased during thyroid operations. However, there are different opinions about using energy devices during thyroid operations. Our study aimed to examine the reliability of energy use in thyroid operations.
Material and Methods: The data of 144 patients who underwent thyroid surgery for various reasons were reviewed retrospectively. The patients were divided into 2 groups, those who used energy devices during the operation and those who were operated with the conventional method. Demographic data of the patients, duration of operation, complication rates were evaluated comparatively.
Result: The majority of patients were women. It was observed that the operation time was shorter, and the amount of bleeding was less in the group in which the energy device was used (p≤0.001). It was determined that the duration of hospital stay of the patients was significantly longer in the conventional surgery group (p≤0.001). There was no significant difference between the two groups in terms of incision lengths. Likewise, there was no difference between the two groups in terms of complication development frequency. Postoperative verbal pain score was significantly higher in the group operated on by conventional method (p≤0.001).
Conclusion: Energy devices can be used safely in thyroid surgery with less hospital stay, less postoperative pain levels, better bleeding control and complication rates similar to conventional surgery.
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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Accepted 2023-10-02
Published 2023-10-06
References
DuBose J, Barnett R, Ragsdale T. Honest and sensible surgeons: the history of thyroid surgery. Curr Surg. 2004;61:213‐219 DOI: https://doi.org/10.1016/j.cursur.2003.07.021
Weiss AJ, Bailey MK, O'Malley L, Barrett ML, Elixhauser A, Steiner CA. Patient characteristics of opioid‐related inpatient stays and emergency department visits nationally and by state, 2014: statistical brief #224. 2017. In: Healthcare Cost and Utilization Project (HCUP) Statistical Briefs [Internet]. Rockville (MD): Agency for Healthcare Research and Quality (US); 2006 Feb.
Bakkar, S.; Papavramidis, T.S.; Aljarrah, Q.; Materazzi, G.; Miccoli, P. Energy-based devices in thyroid surgery-an overview. Gland Surg. 2020, 9 (Suppl. 1), 14–17. DOI: https://doi.org/10.21037/gs.2019.08.05
Materazzi, G.; Ambrosini, C.E.; Fregoli, L.; De Napoli, L.; Frustaci, G.; Matteucci, V.; Papini, P.; Bakkar, S.; Miccoli, P. Prevention and management of bleeding in thyroid surgery. Gland Surg. 2017, 6, 510–515. DOI: https://doi.org/10.21037/gs.2017.06.14
Konturek, A.; Szpyra, B.; Stopa-Barczy ´nska, M.; Barczy ´nski, M. Energy-based devices for hemostasis in thyroid surgery. Gland Surg. 2020, 9 (Suppl. 2), 153–158. DOI: https://doi.org/10.21037/gs.2019.10.17
Moran K, Grigorian A, Elfenbein D, et al. Energy vessel sealant devices are associated with decreased risk of neck hematoma after thyroid surgery. Updates Surg. 2020;72:1135‐1141 DOI: https://doi.org/10.1007/s13304-020-00776-9
Elhady H. A. , Elghany R A, Zarad M S. Parathyroid hormone level after total thyroidectomy using conventional versus harmonic focus technique: Prospective randomized study. Annals of Medicine and Surgery. 2022:73:103176 DOI: https://doi.org/10.1016/j.amsu.2021.103176
G. Dionigi, A. Bacuzzi, V. Bertocchi, G. Carrafiello, L. Boni, F. Rovera, R. Dionigi, Safe incorporation of new technologies in thyroid surgery, Expet Rev. Med. Dev. 5 (2008) 747–758 DOI: https://doi.org/10.1586/17434440.5.6.747
C.S. Landry, E.G. Grubbs, M. Hernandez, M.I. Hu, M.O. Hansen, J.E. Lee, N. D. Perrier, Predictable criteria for selective, rather than routine, calcium supplementation following thyroidectomy, Arch. Surg. 147 (2012) 338–344 DOI: https://doi.org/10.1001/archsurg.2011.2227
A. Puzziello, R. Gervasi, G. Orlando, N. Innaro, M. Vitale, R. Sacco, Hypocalcaemia after total thyroidectomy: could intact parathyroid hormone be a predictive factor for transient postoperative hypocalcemia? Surg. (United States). 157 (2015) 344–348 DOI: https://doi.org/10.1016/j.surg.2014.09.004
A. Toniato, I.M. Boschin, A. Piotto, M.R. Pelizzo, P. Sartori, Thyroidectomy and parathyroid hormone: tracing hypocalcemia-prone patients, Am. J. Surg. 196 (2008) 285–288 DOI: https://doi.org/10.1016/j.amjsurg.2007.06.036
S. Gupta, P. Chaudhary, C.K. Durga, D. Naskar, Validation of intra-operative parathyroid hormone and its decline as early predictors of hypoparathyroidism after total thyroidectomy: a prospective cohort study, Int. J. Surg. 18 (2015) 150–153 DOI: https://doi.org/10.1016/j.ijsu.2015.04.074
CorlissA. E. Best*, Alexandra E. Quimby & Stephanie Johnson Obaseki. Alternative sources of cautery may improve post operative hematoma rates but increase operative time in thyroid surgery. Scientifc Reports (2021) 11:22569. https://doi.org/10.1038/s41598-021-01953-5 DOI: https://doi.org/10.1038/s41598-021-01953-5
Butterworth J. F, Mackey D. C, Wasnick J. D. Morgan & Mikhail Klinik Anesteziyoloji.. Sıvı dengesi ve kan ürünleri tedavisi. Lange (5. Baskı). Bölüm 51, Sf. 1161-1181
Uzunköy A, Coşkun A, Akıncı ÖF. Laparoskopik kolesistektomi sonrası intraperitoneal ve bupivakain uygulamasının ameliyat sonrası ağrı üzerine etkisi. Klinik ve Deneysel Cerrahi Dergisi 1999: 7: 12-16.