Related Experiment Video
Updated: Jul 19, 2026
05:10
Gasless Endoscopic Thyroidectomy via the Trans-Axillary Approach
Published on: September 15, 2023
How we do it: Dispensing with drains in hemithyroidectomy--a feasibility study
Summary
The harmonic scalpel aids faster thyroidectomy with less bleeding, supporting day case surgery targets. Selective drain use and early removal can enable same-day discharge for select patients.
Area of Science:
- Endocrine Surgery
- Surgical Innovation
- Day Case Procedures
Background:
- National Health Service (NHS) aims for 75% of elective surgeries as day cases, but current rates fall short.
- Thyroidectomy is a common procedure where reducing hospital stay is desirable.
Purpose of the Study:
- To evaluate the impact of the harmonic scalpel on thyroidectomy outcomes.
- To identify patient selection criteria for selective drain use and same-day discharge after hemithyroidectomy.
Main Methods:
- Utilized the harmonic scalpel for thyroidectomies within the department.
- Assessed operative time, intra-operative bleeding, and postoperative drain output.
- Proposed criteria for selective drain management in hemithyroidectomy for small solitary nodules.
Main Results:
- The harmonic scalpel led to faster surgical times and reduced intra-operative and postoperative bleeding.
- Minimal blood loss into drains was observed with harmonic scalpel use.
Conclusions:
- The harmonic scalpel is a valuable tool for improving efficiency and reducing blood loss in thyroidectomy.
- Patients with small solitary nodules undergoing diagnostic hemithyroidectomy may be suitable for selective drain use or early drain removal, facilitating same-day discharge.
