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Lessons learned from the first 50 thyroidectomies with Harmonic Focus Curved Shears - technical note.

R Iorgulescu¹, D Badanoiu¹, A Lupu¹

¹Emergency Clinical Hospital "Sf. Ioan" Bucharest.

Journal of Medicine and Life

|April 9, 2016

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The Harmonic Focus Curved Shears (HFCS) device offers safe and effective hemostasis in thyroid surgery, with initial experience showing advantages like reduced operating time and instrument changes. Early complications were linked to learning curve, not device failure.

Area of Science:

Endocrine Surgery
Surgical Technology
Thyroid Procedures

Background:

Hemostasis is critical for successful thyroid surgery.
Ultrasonic devices offer advanced capabilities for dissection and sealing.
The Harmonic Focus Curved Shears (HFCS) represents a significant advancement.

Purpose of the Study:

To evaluate the initial experience with the HFCS device in 50 thyroid surgery cases.
To assess the safety, efficacy, and learning curve associated with HFCS.
To identify advantages and potential complications of using HFCS.

Main Methods:

Retrospective analysis of 50 consecutive thyroidectomy cases using HFCS.
Detailed recording of surgical indications, procedures, intraoperative events, and postoperative complications.

Keywords:

harmonic focus curved shears hemostasis thyroid thyroidectomy

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Focus on initial learning curve and experienced usage of the device.

Main Results:

HFCS demonstrated safe hemostasis with multiple capabilities.
Four intraoperative hemorrhagic incidents occurred, all within the first 15 cases, attributed to inexperience.
Postoperative complications included one cervical hematoma, eight hypocalcemias, and two vocal cord pareses, none permanent.

Conclusions:

The HFCS device facilitates fluent, comfortable, and potentially shorter thyroid surgeries.
Safe hemostasis and reduced instrument exchange are key benefits.
Mastery of the device, through experience, mitigates initial complications.