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Thyroid surgery with harmonic focus, ligasure precise and conventional technique: a retrospective case-matched study.

A Bove¹, Ig Papanikolaou, G Bongarzoni

¹Department of Surgical Sciences, Medical School, University of Chieti-Pescara, Chieti, Italy.

|August 13, 2013

Summary

Harmonic Focus™ and LigaSure® Precise devices are safe and effective for thyroid surgery. Harmonic Focus™ significantly reduced operative time compared to suture ligation, with no increased complications.

Keywords:

complications operative time surgical devices thyroidectomy

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Area of Science:

Surgical Technology
Endocrine Surgery
Vessel Sealing Devices

Background:

Advancements in thyroid surgery aim to improve vessel sealing and hemostasis.
New energy-based devices offer alternatives to traditional ligation techniques.

Purpose of the Study:

To evaluate the effectiveness of Harmonic Focus™ and LigaSure® Precise in total thyroidectomy.
To compare outcomes of these devices against conventional suture ligation.

Main Methods:

Retrospective case-matched study of 240 total thyroidectomies (Oct 2008 - May 2010).
Patients divided into three groups: Harmonic Focus™ (n=80), LigaSure® Precise (n=80), and suture ligation (n=80).

Main Results:

No significant differences in demographics, gland weight, pathology, calcium levels, complications, or hospital stay.
Operative time was significantly shorter with Harmonic Focus™ (62.7±14.1 min) compared to suture ligation (72.7±13.6 min, p=0.019).

Conclusions:

Both Harmonic Focus™ and LigaSure® Precise are safe and efficient for total thyroidectomy.
Harmonic Focus™ demonstrated a statistically significant reduction in operative time versus conventional methods.
No increase in postoperative complications was observed with either device.