Thyroid Diseases
Conditions
Keywords
Thyroidectomy, Ligasure, Vessel ligation
Brief summary
To compare between ligasure versus conventional vessel ligation in thyroidectomy as regards intraoperative and post operative complications rate
Detailed description
The significant vascularity of the thyroid gland and the relatively small operative field makes meticulous hemostasis an important prerequisite in thyroid surgery for successful outcome. The mainstay for achieving hemostasis in thyroidectomy is tying and / or clipping of blood vessels. New technologies have been introduced , among them the vessel sealing device ( ligasure ) which seals vessels by fusing the inner layers of the vessel wall with minimal levels of thermal dispersion burning and tissue friction thereby reducing incidence of accidental burns . This study is designed to evaluate the safety and efficacy of using ligasure compared with conventional vessel ligation in open thyroid surgery
Interventions
DEVICELigasure
the vessel sealing device ( ligasure covidien ) which seals vessels by fusing the inner layers of the vessel wall
PROCEDUREConventional vessel ligation
Conventional vessel ligation either tying and /or clipping of blood vessels
Sponsors
Assiut University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Healthy volunteers
No
Inclusion criteria
* Patient who will undergo lobectomy , subtotal thyroidectomy , total thyroidectomy at time of study * Any age
Exclusion criteria
* patient undergoing re-do surgery completion thyroidectomy * patient undergoing concomitant procedures as cervical lymphadenectomy or parathyroidectomy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Intraoperative blood loss | Baseline | Measuring intraoperative blood loss using surgical towels and contents of suction. Intraoperatively from skin incision start of operation to skin closure complete the operation |
| Post-operative blood loss | From skin closure until one week post operatively | Measuring postoperative blood loss by measuring contents of drains |
| Post-operative complications | Postoperatively from day of surgery until one week post operatively | Including RLN palsy , hypocalcemia , hemorrhage wound infection |
| Operation time | Baseline | From skin incision to skin closure |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Length of hospital stay | Baseline up to two weeks | Measuring number of days of patient stay in hospital to be pain- free return to activity and work. From day of surgery until discharge |
Contacts
Primary ContactAbadeer Rizallah
Outcome results
None listed