Comparison of Starion Vessel Sealing System with Conventional Technique and Harmonic Focus Ultrasonic Scalpel in Total Thyroidectom

Kağan Gökçe; Nuriye Özder

Makale detayları

Comparison of Starion Vessel Sealing System with Conventional Technique and Harmonic Focus Ultrasonic Scalpel in Total Thyroidectom

Yazarlar:

Kağan Gökçe | Nuriye Özder

Yayıncı:

Kafkas University

Ana Başlıklar:

Klinik Tıp Bilimleri (Diğer)

Dergi:

Kafkas Tıp Bilimleri Dergisi Vol.14 Issue 3, pp.217-223

Belge Tipi:

Makale

Yayın Tarihi:

12/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001337781

pISSN:

2146-2631

Anahtar kelimeler:

Özet:

 Aim: This study compares the use of Starion Tissue Welding SystemTM STWS in patients who underwent total thyroidectomy due to Multinodular Goiter MNG with the conventional technique and Harmonic Focus Ultrasonic ScalpelTM HFUS in terms of operation time, bleeding during and after the operation, and complications. Materials and Methods: Between June 2013 and August 2014, 60 patients who underwent a total thyroidectomy due to MNG were retrospectively analyzed. The patients were divided into three groups according to the surgical method. Each group consisted of 20 patients. In the operations, ligationcoagulation and cutting procedures were performed to middle thyroid veins, upper and lower pole arteriesveins of the thyroid gland using conventional clamp and-tie technique in Group-A, STWS in Group-B, and HFUS in Group-C. Groups were compared regarding the operation time, the amount of bleeding during and after the operation, and the complications encountered. Results: Operation times were established as 63.2528.66 minutes in Group-A, 42.6020.14 minutes in Group-B, and 49.609.17 minutes in Group-C p0.05. Perioperative bleeding was 93.5056.05 ml in Group-A, 25.6015.21 ml in Group-B, and 62.5023.31 ml in Group-C p0.05. Postoperative blood drainage was 124.50153.09 ml, 8.7511.68 ml, and 35.7525.91 ml, respectively p0.05. Regarding hemostasis, while two patients in Group-A required hemostasis within the first 24 hours, there was no need for hemostasis in Group-B and Group-C p0.12. The blood calcium levels measured on the first postoperative day were found to be 8.390.56 mgdl in Group-A, 8.341.14 mgdl in Group-B, 8.370.78 mgdl in Group-C p0.86. Blood parathormone levels measured on the first postoperative day were 52.7235.85 pgdl, 34.7720.0 pgdl, and 56.4136.56 pgdl, respectively p0.09. Conclusion: STWS can be used safely in thyroid surgery because it reduces bleeding during and after surgery, shortens the operation time, and has low complication rates.

 Aim: This study compares the use of Starion Tissue Welding SystemTM STWS in patients who underwent total thyroidectomy due to Multinodular Goiter MNG with the conventional technique and Harmonic Focus Ultrasonic ScalpelTM HFUS in terms of operation time, bleeding during and after the operation, and complications. Materials and Methods: Between June 2013 and August 2014, 60 patients who underwent a total thyroidectomy due to MNG were retrospectively analyzed. The patients were divided into three groups according to the surgical method. Each group consisted of 20 patients. In the operations, ligationcoagulation and cutting procedures were performed to middle thyroid veins, upper and lower pole arteriesveins of the thyroid gland using conventional clamp and-tie technique in Group-A, STWS in Group-B, and HFUS in Group-C. Groups were compared regarding the operation time, the amount of bleeding during and after the operation, and the complications encountered. Results: Operation times were established as 63.2528.66 minutes in Group-A, 42.6020.14 minutes in Group-B, and 49.609.17 minutes in Group-C p0.05. Perioperative bleeding was 93.5056.05 ml in Group-A, 25.6015.21 ml in Group-B, and 62.5023.31 ml in Group-C p0.05. Postoperative blood drainage was 124.50153.09 ml, 8.7511.68 ml, and 35.7525.91 ml, respectively p0.05. Regarding hemostasis, while two patients in Group-A required hemostasis within the first 24 hours, there was no need for hemostasis in Group-B and Group-C p0.12. The blood calcium levels measured on the first postoperative day were found to be 8.390.56 mgdl in Group-A, 8.341.14 mgdl in Group-B, 8.370.78 mgdl in Group-C p0.86. Blood parathormone levels measured on the first postoperative day were 52.7235.85 pgdl, 34.7720.0 pgdl, and 56.4136.56 pgdl, respectively p0.09. Conclusion: STWS can be used safely in thyroid surgery because it reduces bleeding during and after surgery, shortens the operation time, and has low complication rates.

 Aim: This study compares the use of Starion Tissue Welding SystemTM STWS in patients who underwent total thyroidectomy due to Multinodular Goiter MNG with the conventional technique and Harmonic Focus Ultrasonic ScalpelTM HFUS in terms of operation time, bleeding during and after the operation, and complications. Materials and Methods: Between June 2013 and August 2014, 60 patients who underwent a total thyroidectomy due to MNG were retrospectively analyzed. The patients were divided into three groups according to the surgical method. Each group consisted of 20 patients. In the operations, ligationcoagulation and cutting procedures were performed to middle thyroid veins, upper and lower pole arteriesveins of the thyroid gland using conventional clamp and-tie technique in Group-A, STWS in Group-B, and HFUS in Group-C. Groups were compared regarding the operation time, the amount of bleeding during and after the operation, and the complications encountered. Results: Operation times were established as 63.2528.66 minutes in Group-A, 42.6020.14 minutes in Group-B, and 49.609.17 minutes in Group-C p0.05. Perioperative bleeding was 93.5056.05 ml in Group-A, 25.6015.21 ml in Group-B, and 62.5023.31 ml in Group-C p0.05. Postoperative blood drainage was 124.50153.09 ml, 8.7511.68 ml, and 35.7525.91 ml, respectively p0.05. Regarding hemostasis, while two patients in Group-A required hemostasis within the first 24 hours, there was no need for hemostasis in Group-B and Group-C p0.12. The blood calcium levels measured on the first postoperative day were found to be 8.390.56 mgdl in Group-A, 8.341.14 mgdl in Group-B, 8.370.78 mgdl in Group-C p0.86. Blood parathormone levels measured on the first postoperative day were 52.7235.85 pgdl, 34.7720.0 pgdl, and 56.4136.56 pgdl, respectively p0.09. Conclusion: STWS can be used safely in thyroid surgery because it reduces bleeding during and after surgery, shortens the operation time, and has low complication rates.

 Aim: This study compares the use of Starion Tissue Welding SystemTM STWS in patients who underwent total thyroidectomy due to Multinodular Goiter MNG with the conventional technique and Harmonic Focus Ultrasonic ScalpelTM HFUS in terms of operation time, bleeding during and after the operation, and complications. Materials and Methods: Between June 2013 and August 2014, 60 patients who underwent a total thyroidectomy due to MNG were retrospectively analyzed. The patients were divided into three groups according to the surgical method. Each group consisted of 20 patients. In the operations, ligationcoagulation and cutting procedures were performed to middle thyroid veins, upper and lower pole arteriesveins of the thyroid gland using conventional clamp and-tie technique in Group-A, STWS in Group-B, and HFUS in Group-C. Groups were compared regarding the operation time, the amount of bleeding during and after the operation, and the complications encountered. Results: Operation times were established as 63.2528.66 minutes in Group-A, 42.6020.14 minutes in Group-B, and 49.609.17 minutes in Group-C p0.05. Perioperative bleeding was 93.5056.05 ml in Group-A, 25.6015.21 ml in Group-B, and 62.5023.31 ml in Group-C p0.05. Postoperative blood drainage was 124.50153.09 ml, 8.7511.68 ml, and 35.7525.91 ml, respectively p0.05. Regarding hemostasis, while two patients in Group-A required hemostasis within the first 24 hours, there was no need for hemostasis in Group-B and Group-C p0.12. The blood calcium levels measured on the first postoperative day were found to be 8.390.56 mgdl in Group-A, 8.341.14 mgdl in Group-B, 8.370.78 mgdl in Group-C p0.86. Blood parathormone levels measured on the first postoperative day were 52.7235.85 pgdl, 34.7720.0 pgdl, and 56.4136.56 pgdl, respectively p0.09. Conclusion: STWS can be used safely in thyroid surgery because it reduces bleeding during and after surgery, shortens the operation time, and has low complication rates.

Makale detayları

Comparison of Starion Vessel Sealing System with Conventional Technique and Harmonic Focus Ultrasonic Scalpel in Total Thyroidectom

Yazarlar:

Kağan Gökçe | Nuriye Özder

Yayıncı:

Kafkas University

Ana Başlıklar:

Klinik Tıp Bilimleri (Diğer)

Dergi:

Kafkas Tıp Bilimleri Dergisi Vol.14 Issue 3, pp.217-223

Belge Tipi:

Makale

Yayın Tarihi:

12/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001337781

pISSN:

2146-2631

thyroidectomy

tissue welding system

ultrasonic device

clamp and tie

Sayı

Makale detayları

Comparison of Starion Vessel Sealing System with Conventional Technique and Harmonic Focus Ultrasonic Scalpel in Total Thyroidectom

Yazarlar: Kağan Gökçe | Nuriye Özder

Yayıncı: Kafkas University

Ana Başlıklar: Klinik Tıp Bilimleri (Diğer)

Dergi: Kafkas Tıp Bilimleri Dergisi Vol.14 Issue 3, pp.217-223

Belge Tipi: Makale

Yayın Tarihi: 12/2024

Belge Dili: İngilizce

Document ID (Org No.): 2001337781

pISSN: 2146-2631

thyroidectomy

tissue welding system

ultrasonic device

clamp and tie

Sayı

Yazarlar:

Kağan Gökçe | Nuriye Özder

Yayıncı:

Kafkas University

Ana Başlıklar:

Klinik Tıp Bilimleri (Diğer)

Dergi:

Kafkas Tıp Bilimleri Dergisi Vol.14 Issue 3, pp.217-223

Belge Tipi:

Makale

Yayın Tarihi:

12/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001337781

pISSN:

2146-2631