Comparison of Liagure Safety in Thyroidectomy With Conventional Thyroidectomy
Study Details
Study Description
Brief Summary
To compare intraoperative and postoperative complication rates in thyroidectomy between ligasure and traditional vascular ligation and clipping .
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
N/A |
Detailed Description
Due to the high vascularity of the thyroid gland and the relatively tiny operative field, rigorous hemostasis is an essential requirement for successful thyroid surgery. Blood vessel ligation and/or ligation are the primary means of attaining hemostasis in thyroidectomy. New technologies have been developed, including a vessel sealing device (ligasure) that seals vessels by fusing the inner layers of the vessel wall with minimal amounts of thermal dispersion burning and tissue friction, thereby minimizing the occurrence of unintentional burns.
yet. It is unclear whether the heat conveyed by a ligature can harm the recurrent laryngeal nerve due to its proximity to the berry ligament.
thromosis of the inferior parathyroidal gland's supplying artery during dissection may result from alternative prospective delineation of the inferior thyroidal artery using ligasure for dissection.
The purpose of this study is to assess the safety and efficacy of ligasure with standard vascular ligation in open thyroid surgery.
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Active Comparator: ligasure throidectomy the vessel sealing device ( ligasure covidien ) which seals vessels by fusing the inner layers of the vessel wall, with dissection around ligament of berry and inferior thyroidal artery |
Device: liagsure device
the vessel sealing device ( ligasure covidien ) which seals vessels by fusing the inner layers of the vessel wall, with dissection around ligament of berry and inferior thyroidal artery
|
| No Intervention: conventional thyroidectomy with dissection around ligament of berry and inferior thyroidal artery through ligation with vicryl and hemoclips |
Outcome Measures
Primary Outcome Measures
- Post-operative complications [Postoperatively from day of surgery until one week post operatively]
Including RLN palsy , hypocalcemia , hemorrhage wound infection
Eligibility Criteria
Criteria
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
Contacts and Locations
Locations
No locations specified.Sponsors and Collaborators
- Imam Mohammad ibn Saud Islamic University
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- ligasure safety thyroidectomy