COMPARISON BETWEEN TOTAL THYROIDECTOMY WITH LIGASURE SMALL JAW DEVICE VERSUS CONVENTIONAL VASCULAR LIGATURE TECHNIQUE

Objective: To compare total thyroidectomy with LigaSure small jaw device with conventional vascular ligature technique in terms of mean operation time and intra-operative and postoperative blood loss. Study Design: Randomized controlled trial. Place and Duration of Study: Department of General...

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Autores principales:	Waqas Ahmed, Taseer Ibrahim, Khalid Ibrahim, Rabia Mushtaq
Formato:	article
Lenguaje:	EN
Publicado:	Army Medical College Rawalpindi 2019
Materias:	intraoperative operative time postoperative blood loss thyroidectomy Medicine R Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/f939e8cbfc5443bab8328ed5f12b94e0
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spelling	oai:doaj.org-article:f939e8cbfc5443bab8328ed5f12b94e02021-11-12T06:22:46ZCOMPARISON BETWEEN TOTAL THYROIDECTOMY WITH LIGASURE SMALL JAW DEVICE VERSUS CONVENTIONAL VASCULAR LIGATURE TECHNIQUE0030-96482411-8842https://doaj.org/article/f939e8cbfc5443bab8328ed5f12b94e02019-04-01T00:00:00Zhttps://www.pafmj.org/index.php/PAFMJ/article/view/2739/2147https://doaj.org/toc/0030-9648https://doaj.org/toc/2411-8842Objective: To compare total thyroidectomy with LigaSure small jaw device with conventional vascular ligature technique in terms of mean operation time and intra-operative and postoperative blood loss. Study Design: Randomized controlled trial. Place and Duration of Study: Department of General Surgery, Military Hospital Rawalpindi from, Jun 2017 to Feb 2018. Material and Methods: A total of 70 patients (35 in each group) diagnosed with benign multinodular goitermeeting the inclusion and exclusion criteria were included in the study. Patients with malignancy of thyroid, redo surgery and coagulopathies were excluded. Group A patients underwent total thyroidectomy with the LigaSure small jaw device while group B patients were operated by the conventional technique. Mean operative time, intraoperative and postoperative blood loss of all patients was documented. Data was analyzed by SPSS 23.0. A pvalue ≤0.05 was taken as significant. Results: Mean operative time in group-A was 63.73 ± 3.67 minutes while in group-B it was 96.53 ± 7.96 minutes (p=0.000). Mean intra-operative blood loss was calculated as 42.13 ± 3.15 mL in group-A and 73.50 ± 3.66 mL in group-B (p=0.000). The mean post-operative blood loss was calculated to be 53.80 ± 3.17 mL in group-A and 63.80 ± 3.31 mL in group-B (p=0.000). Conclusion: Total thyroidectomy with LigaSure small jaw device is significantly better when compared with conventional vascular ligature technique in terms of mean operation time, intra-operative and postoperative blood loss.Waqas AhmedTaseer IbrahimKhalid IbrahimRabia MushtaqArmy Medical College Rawalpindiarticleintraoperativeoperative timepostoperative blood lossthyroidectomyMedicineRMedicine (General)R5-920ENPakistan Armed Forces Medical Journal, Vol 69, Iss 2, Pp 291-295 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	intraoperative operative time postoperative blood loss thyroidectomy Medicine R Medicine (General) R5-920
spellingShingle	intraoperative operative time postoperative blood loss thyroidectomy Medicine R Medicine (General) R5-920 Waqas Ahmed Taseer Ibrahim Khalid Ibrahim Rabia Mushtaq COMPARISON BETWEEN TOTAL THYROIDECTOMY WITH LIGASURE SMALL JAW DEVICE VERSUS CONVENTIONAL VASCULAR LIGATURE TECHNIQUE
description	Objective: To compare total thyroidectomy with LigaSure small jaw device with conventional vascular ligature technique in terms of mean operation time and intra-operative and postoperative blood loss. Study Design: Randomized controlled trial. Place and Duration of Study: Department of General Surgery, Military Hospital Rawalpindi from, Jun 2017 to Feb 2018. Material and Methods: A total of 70 patients (35 in each group) diagnosed with benign multinodular goitermeeting the inclusion and exclusion criteria were included in the study. Patients with malignancy of thyroid, redo surgery and coagulopathies were excluded. Group A patients underwent total thyroidectomy with the LigaSure small jaw device while group B patients were operated by the conventional technique. Mean operative time, intraoperative and postoperative blood loss of all patients was documented. Data was analyzed by SPSS 23.0. A pvalue ≤0.05 was taken as significant. Results: Mean operative time in group-A was 63.73 ± 3.67 minutes while in group-B it was 96.53 ± 7.96 minutes (p=0.000). Mean intra-operative blood loss was calculated as 42.13 ± 3.15 mL in group-A and 73.50 ± 3.66 mL in group-B (p=0.000). The mean post-operative blood loss was calculated to be 53.80 ± 3.17 mL in group-A and 63.80 ± 3.31 mL in group-B (p=0.000). Conclusion: Total thyroidectomy with LigaSure small jaw device is significantly better when compared with conventional vascular ligature technique in terms of mean operation time, intra-operative and postoperative blood loss.
format	article
author	Waqas Ahmed Taseer Ibrahim Khalid Ibrahim Rabia Mushtaq
author_facet	Waqas Ahmed Taseer Ibrahim Khalid Ibrahim Rabia Mushtaq
author_sort	Waqas Ahmed
title	COMPARISON BETWEEN TOTAL THYROIDECTOMY WITH LIGASURE SMALL JAW DEVICE VERSUS CONVENTIONAL VASCULAR LIGATURE TECHNIQUE
title_short	COMPARISON BETWEEN TOTAL THYROIDECTOMY WITH LIGASURE SMALL JAW DEVICE VERSUS CONVENTIONAL VASCULAR LIGATURE TECHNIQUE
title_full	COMPARISON BETWEEN TOTAL THYROIDECTOMY WITH LIGASURE SMALL JAW DEVICE VERSUS CONVENTIONAL VASCULAR LIGATURE TECHNIQUE
title_fullStr	COMPARISON BETWEEN TOTAL THYROIDECTOMY WITH LIGASURE SMALL JAW DEVICE VERSUS CONVENTIONAL VASCULAR LIGATURE TECHNIQUE
title_full_unstemmed	COMPARISON BETWEEN TOTAL THYROIDECTOMY WITH LIGASURE SMALL JAW DEVICE VERSUS CONVENTIONAL VASCULAR LIGATURE TECHNIQUE
title_sort	comparison between total thyroidectomy with ligasure small jaw device versus conventional vascular ligature technique
publisher	Army Medical College Rawalpindi
publishDate	2019
url	https://doaj.org/article/f939e8cbfc5443bab8328ed5f12b94e0
work_keys_str_mv	AT waqasahmed comparisonbetweentotalthyroidectomywithligasuresmalljawdeviceversusconventionalvascularligaturetechnique AT taseeribrahim comparisonbetweentotalthyroidectomywithligasuresmalljawdeviceversusconventionalvascularligaturetechnique AT khalidibrahim comparisonbetweentotalthyroidectomywithligasuresmalljawdeviceversusconventionalvascularligaturetechnique AT rabiamushtaq comparisonbetweentotalthyroidectomywithligasuresmalljawdeviceversusconventionalvascularligaturetechnique
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COMPARISON BETWEEN TOTAL THYROIDECTOMY WITH LIGASURE SMALL JAW DEVICE VERSUS CONVENTIONAL VASCULAR LIGATURE TECHNIQUE

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