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Endocrinology 2018
Journal of Clinical and Molecular Endocrinology
ISSN: 2572-5432
Page 60
August 09-10, 2018
Madrid, Spain
11
th
International Conference on
Endocrinology and
Diabetology
Background:
Vessel hemostasis during thyroidectomy is the
mainstay of reducing the risk of post-operative hypocalcaemia,
which can be achieved by using several techniques. The aim of
this study was to assess the occurrence of hypocalcaemia, 24-
48 hours following total thyroidectomy by using FOCUS harmonic
scalpel (HS) versus the conventional suture ligation (CSL).
Patients & methods:
A prospective, single-blind, randomized trial
in which 76 patients with benign multi nodular goiters scheduled
to undergo total thyroidectomy, were randomized into two groups:
to receive HS (n=38) or CSL (38). Patients were monitored for
hypocalcaemia at 24 and 48 hours post-operatively and the
lengths of post-operative hospital stay. Statistical analysis to
detect between-group difference was based on student’s t-test
performed using SPSS.
Results:
The incidencepost-operativehypocalcaemiawas15.79%
and 36.84%, in HS and CSL groups, respectively (p =0.033).
Identification of in situ parathyroid glands was significantly
associated with hypocalcaemia in the CSL group (p =0.019) but
not in the HS group (p= 0.372). Length of hospital stay was 2.63 ±
0.85 and 1.37 ± 0.67 days, respectively (p<0.001),
Conclusions:
FOCUS HS reduces overall hypocalcaemia risk
compared to conventional hemostasis during thyroidectomy
for benign thyroid disease. The conventional suture ligation
technique should be replaced with FOCUS HS in thyroid surgery
practice.
sadafzehra@rcsi.comPost-operative hypocalcemia following open thyroidectomy
for benign multinodular goiters using focus harmonic scalpel
versus conventional suture ligation technique for hemostasis:
a prospective, single-blind, randomized controlled trial
Ms. Sadaf Zehra
Royal College of Surgeons, Ireland
J Clin Mol Endocrinol 2018, Volume 3
DOI: 10.21767/2572-5432-C2-006