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Radiofrequency dissection versus 'knot tying' in conventional total thyroidectomy
M H Ozkul1, R M Açikalin1, H H Balikci2
1Department of Otorhinolaryngology,Haseki Research and Training Hospital,Istanbul,Turkey.
The Journal of Laryngology and Otology
|August 30, 2014
Summary
Radiofrequency dissection is a safe alternative for total thyroidectomy, reducing surgical instruments needed. This method proved comparable in safety and effectiveness to traditional knot tying techniques.
Area of Science:
- Surgical Innovation
- Minimally Invasive Techniques
- Thyroid Surgery
Background:
- Conventional total thyroidectomy often requires numerous surgical instruments and materials.
- Exploring alternative dissection methods can potentially optimize surgical procedures.
Purpose of the Study:
- To assess the safety and efficacy of radiofrequency dissection compared to knot tying in open total thyroidectomy.
Main Methods:
- A prospective randomized study involving 39 patients undergoing total thyroidectomy.
- Patients were allocated to either radiofrequency dissection or a standard knot tying technique.
Main Results:
- Radiofrequency dissection significantly reduced the number of surgical instruments and materials used (p < 0.01).
- No significant differences were observed in operative time, blood loss, drainage, pain, recurrent laryngeal nerve palsy, or hypocalcaemia between the groups (p > 0.05).
Conclusions:
- Radiofrequency dissection presents a safe alternative to the knot tying technique in total thyroidectomy.
- This method offers a significant advantage by decreasing the requirement for surgical instruments and materials.
