Alternative sources of cautery may improve post-operative hematoma rates but increase operative time in thyroid surgery

Abstract A retrospective risk-adjusted analysis was completed using data from the National Surgical Quality Improvement Program (NSQIP) to (1) compare the risks of post-operative hematoma for thyroid surgery using conventional cautery compared alternative energy devices (defined as LigaSure and Harm...

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Autores principales:	Corliss A. E. Best, Alexandra E. Quimby, Stephanie Johnson-Obaseki
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/97ce384c0874418082262760f1e540d5
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spelling	oai:doaj.org-article:97ce384c0874418082262760f1e540d52021-11-21T12:18:56ZAlternative sources of cautery may improve post-operative hematoma rates but increase operative time in thyroid surgery10.1038/s41598-021-01953-52045-2322https://doaj.org/article/97ce384c0874418082262760f1e540d52021-11-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-01953-5https://doaj.org/toc/2045-2322Abstract A retrospective risk-adjusted analysis was completed using data from the National Surgical Quality Improvement Program (NSQIP) to (1) compare the risks of post-operative hematoma for thyroid surgery using conventional cautery compared alternative energy devices (defined as LigaSure and Harmonic Scalpel), and (2) compare operative times for the same. The primary outcome variable was post-operative hematoma occurrence. The secondary outcome variable was operative time. The exposure variable was use of conventional or alternative sources of cautery. All adult patients who underwent a total thyroidectomy, subtotal thyroidectomy or completion thyroidectomy between 2016 and 2018 were included. Multivariable linear and logistic regression analyses were performed to control for potentially confounding variables. A total of 13,330 cases were analyzed; 4342 used conventional cautery, and 8988 used alternative sources. There was a statistically significant decrease in post-operative hematoma risk using alternative sources of cautery compared to conventional cautery (OR 0.75; 95% CI 0.58–0.98) (p = 0.04). Use of alternative sources of cautery added 4.95 min onto operative time (95% CI 2.45–7.45) which was statistically significant (p < 0.0001). After controlling for confounding variables, there was a statistically significant lower rate of post-operative hematoma in thyroidectomies performed using alternative sources of cautery compared to those performed with traditional hemostatic methods. Alternative sources of cautery increased operative time by 4.95 min.Corliss A. E. BestAlexandra E. QuimbyStephanie Johnson-ObasekiNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-8 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Corliss A. E. Best Alexandra E. Quimby Stephanie Johnson-Obaseki Alternative sources of cautery may improve post-operative hematoma rates but increase operative time in thyroid surgery
description	Abstract A retrospective risk-adjusted analysis was completed using data from the National Surgical Quality Improvement Program (NSQIP) to (1) compare the risks of post-operative hematoma for thyroid surgery using conventional cautery compared alternative energy devices (defined as LigaSure and Harmonic Scalpel), and (2) compare operative times for the same. The primary outcome variable was post-operative hematoma occurrence. The secondary outcome variable was operative time. The exposure variable was use of conventional or alternative sources of cautery. All adult patients who underwent a total thyroidectomy, subtotal thyroidectomy or completion thyroidectomy between 2016 and 2018 were included. Multivariable linear and logistic regression analyses were performed to control for potentially confounding variables. A total of 13,330 cases were analyzed; 4342 used conventional cautery, and 8988 used alternative sources. There was a statistically significant decrease in post-operative hematoma risk using alternative sources of cautery compared to conventional cautery (OR 0.75; 95% CI 0.58–0.98) (p = 0.04). Use of alternative sources of cautery added 4.95 min onto operative time (95% CI 2.45–7.45) which was statistically significant (p < 0.0001). After controlling for confounding variables, there was a statistically significant lower rate of post-operative hematoma in thyroidectomies performed using alternative sources of cautery compared to those performed with traditional hemostatic methods. Alternative sources of cautery increased operative time by 4.95 min.
format	article
author	Corliss A. E. Best Alexandra E. Quimby Stephanie Johnson-Obaseki
author_facet	Corliss A. E. Best Alexandra E. Quimby Stephanie Johnson-Obaseki
author_sort	Corliss A. E. Best
title	Alternative sources of cautery may improve post-operative hematoma rates but increase operative time in thyroid surgery
title_short	Alternative sources of cautery may improve post-operative hematoma rates but increase operative time in thyroid surgery
title_full	Alternative sources of cautery may improve post-operative hematoma rates but increase operative time in thyroid surgery
title_fullStr	Alternative sources of cautery may improve post-operative hematoma rates but increase operative time in thyroid surgery
title_full_unstemmed	Alternative sources of cautery may improve post-operative hematoma rates but increase operative time in thyroid surgery
title_sort	alternative sources of cautery may improve post-operative hematoma rates but increase operative time in thyroid surgery
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/97ce384c0874418082262760f1e540d5
work_keys_str_mv	AT corlissaebest alternativesourcesofcauterymayimprovepostoperativehematomaratesbutincreaseoperativetimeinthyroidsurgery AT alexandraequimby alternativesourcesofcauterymayimprovepostoperativehematomaratesbutincreaseoperativetimeinthyroidsurgery AT stephaniejohnsonobaseki alternativesourcesofcauterymayimprovepostoperativehematomaratesbutincreaseoperativetimeinthyroidsurgery
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Alternative sources of cautery may improve post-operative hematoma rates but increase operative time in thyroid surgery

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