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Updated: Jun 2, 2026

Mixed Reality Assisted Radical Endoscopic Thyroidectomy
Published on: January 31, 2025
[Hemostatic systems in thyroid surgery and complications]
1Servicio de Otorrinolaringología, Sección de Cirugía Tiroidea y Paratiroidea, Hospital Virgen de La Concha, Zamora, España. orlblog@orlblog.com
The Ultracision Harmonic scalpel significantly reduces complications and shortens recovery time in total thyroidectomy compared to traditional methods. This advanced technique offers a safer and more efficient surgical option for thyroid procedures.
Area of Science:
- Surgical Innovation
- Minimally Invasive Surgery
- Endocrine Surgery
Background:
- Technological advancements in hemostasis offer improved vascular sealing in thyroid surgery.
- Traditional methods like electrocoagulation have limitations in precision and safety.
Purpose of the Study:
- To compare complication rates of total thyroidectomy using traditional techniques versus the Ultracision Harmonic scalpel.
- To evaluate surgical efficiency and patient outcomes with the Harmonic scalpel.
Main Methods:
- Retrospective comparative study of 887 patients undergoing total thyroidectomy.
- Group A: Traditional techniques (ligation, electrocoagulation, LigaSure).
- Group B: Exclusive use of Ultracision Harmonic scalpel for dissection, cutting, and hemostasis.
Main Results:
- Group B showed significantly lower complication rates (0.95% vs. 4.06%), including reduced bleeding and tracheostomy.
- Shorter operation time (60 vs. 180 minutes) and hospital stays (4.62 vs. 8.5 days) in Group B.
- Lower cost per patient and improved surgical activity parameters observed with the Harmonic scalpel.
Conclusions:
- The Ultracision Harmonic scalpel is a superior technique for total thyroidectomy.
- This method enhances patient safety, reduces complications, and improves surgical efficiency.
- The Harmonic scalpel system is recommended as the technique of choice for thyroid surgery.
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