Erschienen in:
01.11.2009 | Head and Neck
Standard bipolar diathermy forceps vessel ligation is safe in thyroidectomy
verfasst von:
James Russell Tysome, Rudaina Hassan, Jeremy Davis
Erschienen in:
European Archives of Oto-Rhino-Laryngology
|
Ausgabe 11/2009
Einloggen, um Zugang zu erhalten
Abstract
Bleeding is a major complication of thyroid surgery. A retrospective study was performed comparing the outcomes of patients undergoing thyroid surgery where bipolar diathermy with standard bipolar forceps was used for vessel ligation (n = 64) compared to clamp-and-tie (n = 89). Fewer drains were inserted and patients were discharged earlier when standard bipolar diathermy was used for vessel ligation in hemithyroidectomies (P < 0.001). Complication rates were similar. The use of bipolar diathermy with standard forceps for vessel ligation in thyroid surgery has been shown to be as safe and effective as the clamp-and-tie technique, while resulting in earlier patient discharge. This technique is cost-efficient as it provides the advantage of reduced inpatient stay reported using bipolar vessel sealing devices or the harmonic scalpel, but without the additional expense.