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Use of the vessel sealing system in tracheostomy
Arkadi Yakirevitch1, Gabriel Nakache, Noga Lipschitz
1Department of Otorhinolaryngology-Head and Neck Surgery, Sheba Medical Center, Tel Hashomer affiliated with Sackler Faculty of Medicine, Tel Aviv University, Ramat Aviv, Israel. arkadiyak@gmail.com
Background:
Tracheostomy is a frequent, and at times semiurgent, surgical procedure. It is performed in close proximity to the thyroid gland, and in many cases requires division of its isthmus, putting a patient in danger of significant bleeding.
Objectives:
To examine prospectively the feasibility of vessel sealing in tracheostomy.
Methods:
A vessel-seating device was used in 24 consecutive patients undergoing tracheostomy. There were no exclusion criteria for enrolling the patients. No other hemostatic technique was used for dividing the isthmus.
Results:
There were no bleeding events throughout the postoperative period. The operating time saving was 5-10 minutes.
Conclusions:
Use of the vessel sealer was found to be straightforward, efficacious, rapid and safe.
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