TITLE

The use of LigaSure in patients with hyperthyroidism

AUTHOR(S)
Barbaros, Umut; Erbil, Yeşim; Bozbora, Alp; Deveci, Uğur; Aksakal, Nihat; Dinççağ, Ahmet; Özarmağan, Selçuk
PUB. DATE
November 2006
SOURCE
Langenbeck's Archives of Surgery;Nov2006, Vol. 391 Issue 6, p575
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Thyroidectomies of hyperthyroidic patients are known to be more blood-spattered than the operations performed for euthyroid nodular diseases and require careful hemostasis. Our purpose was to evaluate the efficacy of the use of LigaSure in patients with hyperthyroidism. Between January 2004 and October 2005, 100 patients underwent total or near-total thyroidectomy. Bipolar vessel ligation system (LigaSure) was the choice of modality for hemostasis in half of these patients, and the conventional suture ligation technique was used for the rest. The following data were evaluated non-randomized and prospectively in this study: patients demographics, thyroid pathology, operative duration, presence of complications, and the duration of the hospital stay. Comparisons of the data were evaluated by the Wilcoxon and chi-square tests. Among the patients of the LigaSure group, 14 patients were detected to have hyperthyroidism (seven patients with Graves’ disease and another seven patients with multinodular toxic goiter), while 36 patients were found to be euthyroidic. The durations of the operation time and of the hospital stay of the patients in the LigaSure group were significantly lower than the conventional thyroidectomy group ( p<0.05). The complication rates of the LigaSure and conventional thyroidectomy groups were 4 and 6%, respectively ( p>0.05). The use of LigaSure as an operative technique in the treatment of Graves’ disease and toxic goiter is a safe and effective modality that provides a shorter hospital stay and a shorter operation time as well.
ACCESSION #
22896912

 

Related Articles

  • Hypocalcaemia following total thyroidectomy: An analysis of 806 patients. Nair, C. Gopalakrishnan; Babu, Misha J. C.; Menon, Riju; Jacob, Pradeep // Indian Journal of Endocrinology & Metabolism;Mar/Apr2013, Vol. 17 Issue 2, p298 

    Background: Permanent hypocalcaemia following thyroidectomy causes considerable morbidity. This prospective observational study aims to define the factors likely to predict hypocalcaemia following total thyroidectomy. Materials and Methods: Patients who were subjected to total thyroidectomy...

  • Supervised surgical trainees perform thyroid surgery for Graves’ disease safely. Hassan, Iyad; Koller, Michael; Kluge, Conrad; Hoffmann, Sebastian; Zielke, Andreas; Rothmund, Matthias // Langenbeck's Archives of Surgery;Nov2006, Vol. 391 Issue 6, p597 

    There is little information about the effect of operative experience and supervision of trainees on long-term outcomes after thyroid resection for Graves’ disease (GD). The aim of this study was to compare the morbidity rate after thyroid resection performed by trainees vs consultant...

  • Safety and Efficacy of Surgical Management of Hyperthyroidism: 15-year Experience from a Tertiary Care Center in a Developing Country. Pradeep, P. V.; Agarwal, Amit; Baxi, Mukta; Agarwal, Gaurav; Gupta, Sushil Kumar; Mishra, S. K. // World Journal of Surgery;Feb2007, Vol. 31 Issue 2, p306 

    Ideal management of toxic goiter still remains elusive. Though surgical management of toxic multinodular goiter (MNG) is well accepted, surgical treatment of Graves’ disease (GD) is still controversial in view of the presumed increased incidence of complications. In this paper, we discuss...

  • A comparison of total thyroidectomies carried out through LigaSure and Harmonic Scalpel: a retrospective study. PEKER, Kemal; DUMANLI ÖZCAN, Ayça Tuba; SAHIN, Murat; INAL, Abdullah; KILIÇ, Kemal; ÖZÇIÇEK, Fatih // Turkish Journal of Medical Sciences;Apr2014, Vol. 44 Issue 2, p255 

    Aim: Both LigaSure (LS) and Harmonic Scalpel (HS) are new surgical technologies that have been used to secure hemostasis in various fields of surgery. There is little information in the literature about the use of LS and HS in thyroid surgery. The aim of this study was to report our experience...

  • The Treatment of Hyperthyroidism. Hershman, Jerome M. // Annals of Internal Medicine;Jun66, Vol. 64 Issue 6, p1306 

    Presents a study on the treatment of hyperthyroidism. Pathogenesis of the disease; Role of psychologic factors in Graves' disease; Complications of thyroidectomy.

  • 37-Year-Old Woman With Palpitations and Fatigue. Noheria, Amit; Khanna, Sahil; West, Colin P. // Mayo Clinic Proceedings;Jan2011, Vol. 86 Issue 1, p75 

    The article presents a case study of a 37-year-old woman with palpitations, fatigue, and exertional dyspnea of two months' duration. It states that the patient was diagnosed with Graves' disease which was supported by subacute to chronic course, the symptoms of thyrotoxicosis. It indicates that...

  • American Thyroid Association Statement on Outpatient Thyroidectomy. Terris, David J.; Snyder, Samuel; Carneiro-Pla, Denise; Inabnet, William B.; Kandil, Emad; Orloff, Lisa; Shindo, Maisie; Tufano, Ralph P.; Tuttle, R. Michael; Urken, Mark; Yeh for the American Thyroid Association Surgical Affairs Committee Writing Task Force, Michael W. // Thyroid;Oct2013, Vol. 23 Issue 10, p1193 

    Background: The primary goals of this interdisciplinary consensus statement are to define the eligibility criteria for outpatient thyroidectomy and to explore preoperative, intraoperative, and postoperative factors that should be considered in order to optimize the safe and efficient performance...

  • LETTER T O THE EDITOR. PROWSE, SIMON JOHN // Annals of Otology, Rhinology & Laryngology;Dec2012, Vol. 121 Issue 12, p827 

    A letter to the editor is presented which is concerned with a patient who developed temporary hypocalcemia after undergoing a total thyroidectomy.

  • Long-Term Changes in Parathyroid Function After Subtotal Thyroidectomy for Graves' Disease. Yano, Yukiko; Nagahama, Mitsuji; Sugino, Kiminori; Ito, Kunihiko; Ito, Koichi // World Journal of Surgery;Dec2008, Vol. 32 Issue 12, p2612 

    Transient hypocalcemia is one of the postoperative complications of thyroidectomy for Graves’ disease, and perioperative parathyroid hormone (PTH) assays are used to predict postoperative hypocalcemia. We evaluated long-term changes in parathyroid function after surgery for Graves’...

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics