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Publication:

Surgical Technology International XIX - General Surgery

Article title:

Novel Hemostatic Devices in Thyroid Surgery: Are They Necessary in Every Patient Performing Thyroidectomy?

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Author(s)

Yesim Erbil, M.D.
Professor
Department of General Surgery
Istanbul Medical Faculty
Istanbul University
Istanbul, Turkey

 

Aziz Sümer, M.D.
Department of General Surgery
Istanbul Medical Faculty
Istanbul University
Istanbul, Turkey

 

Serkan Sari, M.D.
Department of General Surgery
Istanbul Medical Faculty
Istanbul University
Istanbul, Turkey

 

Candas Ercetin, M.D.
Department of Public Health
Istanbul Medical Faculty
Istanbul University
Istanbul, Turkey

 

Halim Issever, M.D.
Associate Professor
Department of Public Health
Istanbul Medical Faculty
Istanbul University
Istanbul, Turkey

 

Selçuk Özarmagan, M.D.
Professor
Department of General Surgery
Istanbul Medical Faculty
Istanbul University
Istanbul, Turkey

Abstract

TThis study was conducted to compare the outcome of total thyroidectomy using novel hemostatic devices and the classic suture ligation technique. This prospective study included 195 consecutive patients undergoing total thyroidectomy between January 2008 and March 2009. The main outcomes measured were operating time, intraoperative blood loss, postoperative drainage, pain score, and postoperative complications. The three groups tested were similar in terms of demographics, thyroid gland weight and pathology, and postoperative complications. According to two-way analysis of variance, the use of hemostatic devices in thyroid volume less than 40 ml was not found to significantly correlate with operating time, intraoperative blood loss or postoperative drainage. Novel hemostatic devices are safe, useful, and time-saving adjuncts for thyroid surgery, and the use of these devices seems to have great advantages in the patients with large goiters.