Evaluation of a new ultrasonic device in thyroid surgery: comparative randomized study
Paolo Miccoli1, Gabriele Materazzi, Mario Miccoli
1Department of Surgery, University of Pisa, Via, Rome 67 56100, Pisa, Italy.
American Journal of Surgery
|July 9, 2010
Summary
The Harmonic FOCUS Shear offers a safe and effective alternative for thyroidectomy, significantly reducing operative time and postoperative pain compared to conventional methods.
Area of Science:
- Surgical Innovation
- Minimally Invasive Surgery
- Thyroid Surgery
Background:
- Conventional thyroidectomy hemostasis involves knot tying, clips, and electrocoagulation.
- The Harmonic FOCUS Shear represents a recent technological advancement for thyroidectomy procedures.
Purpose of the Study:
- To evaluate the efficacy and safety of the Harmonic FOCUS Shear in thyroidectomy.
- To compare the Harmonic FOCUS Shear with traditional hemostasis techniques.
Main Methods:
- A randomized study involving 62 patients undergoing thyroidectomy.
- Patients were divided into two groups: one using the Harmonic FOCUS Shear (Group A) and the other using electrocoagulation and clamp-and-tie (Group B).
Main Results:
- Group A (Harmonic FOCUS Shear) demonstrated significantly shorter operative times.
- Fewer clips and ties were used in Group A, with reduced postoperative pain and lower suction drainage.
- Transient hypocalcemia was the only complication, occurring in one patient in Group B.
Conclusions:
- The Harmonic FOCUS Shear is a reliable and safe tool for thyroidectomy.
- Utilizing the Harmonic FOCUS Shear leads to decreased operative time, reduced blood loss, and less postoperative pain.
