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To compare intraoperative and postoperative complication rates in thyroidectomy between ligasure and traditional vascular ligation and clipping .
Due to the high vascularity of the thyroid gland and the relatively tiny operative field, rigorous hemostasis is an essential requirement for successful thyroid surgery. Blood vessel ligation and/or ligation are the primary means of attaining hemostasis in thyroidectomy. New technologies have been developed, including a vessel sealing device (ligasure) that seals vessels by fusing the inner layers of the vessel wall with minimal amounts of thermal dispersion burning and tissue friction, thereby minimizing the occurrence of unintentional burns.
yet. It is unclear whether the heat conveyed by a ligature can harm the recurrent laryngeal nerve due to its proximity to the berry ligament.
thromosis of the inferior parathyroidal gland's supplying artery during dissection may result from alternative prospective delineation of the inferior thyroidal artery using ligasure for dissection.
The purpose of this study is to assess the safety and efficacy of ligasure with standard vascular ligation in open thyroid surgery.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| ligasure throidectomy | Active Comparator | the vessel sealing device ( ligasure covidien ) which seals vessels by fusing the inner layers of the vessel wall, with dissection around ligament of berry and inferior thyroidal artery |
|
| conventional thyroidectomy | No Intervention | with dissection around ligament of berry and inferior thyroidal artery through ligation with vicryl and hemoclips |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| liagsure device | Device | the vessel sealing device ( ligasure covidien ) which seals vessels by fusing the inner layers of the vessel wall, with dissection around ligament of berry and inferior thyroidal artery |
| Measure | Description | Time Frame |
|---|---|---|
| Post-operative complications | Including RLN palsy , hypocalcemia , hemorrhage wound infection | Postoperatively from day of surgery until one week post operatively |
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Inclusion Criteria:
Patient who will undergo lobectomy , subtotal thyroidectomy , total thyroidectomy at time of study
Any age
-
Exclusion Criteria:
patient undergoing concomitant procedures as cervical lymphadenectomy or parathyroidectomy
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| ID | Term |
|---|---|
| D006470 | Hemorrhage |
| D061226 | Recurrent Laryngeal Nerve Injuries |
| D006996 | Hypocalcemia |
| ID | Term |
|---|---|
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D061224 | Laryngeal Nerve Injuries |
| D007818 | Laryngeal Diseases |
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| D012140 | Respiratory Tract Diseases |
| D010038 | Otorhinolaryngologic Diseases |
| D061223 | Vagus Nerve Injuries |
| D020209 | Cranial Nerve Injuries |
| D003389 | Cranial Nerve Diseases |
| D009422 | Nervous System Diseases |
| D006259 | Craniocerebral Trauma |
| D020196 | Trauma, Nervous System |
| D014947 | Wounds and Injuries |
| D002128 | Calcium Metabolism Disorders |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
| D014883 | Water-Electrolyte Imbalance |