الفهرس 
SURGICAL ANATOMY AND EMBRYOLOGY OF THE THYROID GLAND
Persistent Thyroglossal DuctOnly 14 pages are availabe for public view
 |  | from | 32 |  |  |
| | | from | 32 | | |
Abstract
Thyroid surgery involves meticulous devascularization
of the thyroid gland which has one of the richest blood supplies
among the organs, with numerous blood vessels and plexuses
entering its parenchyma. Therefore, hemostasis is of paramount
importance to control and divide various vessels before
excision of the gland.
This study was done to compare of the outcomes of total
thyroidectomy operations with the Harmonic Focus & Ligasure
vessel sealing system in comparison to the conventional
haemostasis.
Our study included 45 patients (diagnosed to have
controlled 2ry toxic goiter or uncontrolled 1ry toxic goiter),
who were divided to three groups. group (1) include 15
patients who undergone total thyroidectomy with conventional
haemostasis and group (2) include15 patients who undergone
total thyroidectomy with ligasure vessel sealing system, and
group (3) include15 patients who undergone total
thyroidectomy with harmonic focus scalpel.
We compared between three groups according to
operative time, post-operative complications (as RLN injury
and hypocalcemia), post-operative pain, blood drainage,
hospital stays and hospital cost. According to our study there was significant difference
between the Harmonic Focus Scalpel, ligasure sealing system
and the conventional haemostasis as regarding to operative time
(Harmonic Focus & ligasure take short time than Conventional
Hemostatic ), post-operative pain (pain less severe with
Harmonic Focus & ligasure than Conventional Hemostatic ),
post-operative blood drainage (using of the Harmonic Focus &
ligasure leads to decrease post-operative blood drainage than
the Conventional Hemostatic ), and hospital stays (using of the
Harmonic Focus & ligasure leads to short hospital stays than
the Conventional Hemostatic ). However their was no
significant difference between the three groups in relations to
post-operative complications (as the RLN injury and
hypocalcemia).