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Thermal sealing systems with and without tissue divider for total thyroidectomy.
Anthony R Glover1, Justin S Gundara, James C Lee
1Kolling Institute of Medical Research, Cancer Genetics Laboratory, Royal North Shore Hospital and The University of Sydney, Sydney, New South Wales, Australia.
ANZ Journal of Surgery
|October 15, 2013
Summary
A new thermal sealing device for sutureless thyroid surgery (LigaSure Small Jaw) is safe and effective. It offers reduced operative times without compromising patient outcomes compared to previous devices.
Area of Science:
- Surgical Technology
- Endocrine Surgery
- Medical Devices
Background:
- Sutureless thyroid surgery using thermal sealing is established.
- New devices require clinical evaluation for safety and efficacy.
- This study compares two thermal sealing devices: LigaSure Small Jaw and LigaSure Precise.
Purpose of the Study:
- To compare the safety and efficacy of the LigaSure Small Jaw device against the LigaSure Precise device in total thyroidectomy.
- To evaluate if the addition of a tissue divider impacts clinical outcomes.
- To assess operative times associated with each device.
Main Methods:
- A cohort study of 872 total thyroidectomies was conducted over two years.
- Patients were assigned based on device availability across four institutions.
- Outcomes were recorded from a prospectively maintained database.
Main Results:
- No significant differences in complications (hematoma, hypoparathyroidism, nerve injury) were observed between the LigaSure Small Jaw and LigaSure Precise groups.
- The LigaSure Small Jaw device was associated with significantly reduced operative times in public hospitals (79 min vs. 103 min).
- Demographics, indications, and pathology did not differ significantly between the groups.
Conclusions:
- Thermal sealing devices with integrated tissue dividers are safe and effective for thyroid surgery.
- The LigaSure Small Jaw device demonstrates comparable clinical outcomes to the LigaSure Precise device.
- The LigaSure Small Jaw offers a significant advantage by reducing overall operative time.
