Comparison of outcome of Sutureless Thyroidectomy by Ligasure small jaw verses conventional technique.

Abstract

Background: Thyroid is a highly vascular gland and hemostasis is a key limiting factor in morbidity and mortality in thyroid surgery. Hemostasis has always been a challenge and various techniques have been used. Vessel sealers like Ligasure are now gaining popularity. Objectives: The objective of this study is to compare thyroidectomy by Ligasure with conventional technique in terms of mean operative time and post-operative blood loss. Study Design: It is a Randomized Control Trial. Setting: Surgical Department of Allied Hospital Faisalabad. Period: Six months (March 2017 to August 2017). Material & Methods: After approval of study from ethical review committee and informed consent, the patients were subjected to complete history and clinical examination in addition to baseline investigations. Total 135 patients of multinodular goiter (MNG) and euthyroid were divided in two groups by simple random sampling. All surgeries were performed under general anesthesia with orotracheal intubation and procedure offered to each patient was subtotal thyroidectomy. Both techniques were compared by measuring the time from opening of pretracheal fascia till its closure in minutes by stop watch and mean was calculated. Post operative blood loss was measured in graduated drain placed in thyroid bed for 24 hours. Results: Mean operative time was recorded as 62.11+4.07 minutes in Ligasure technique group and 73.05+4.01 minutes in conventional technique group. Mean blood loss was recorded as 57.28+3.42 ml in Ligasure technique group and 70.85+4.12 ml in conventional technique group. Conclusion: We concluded that mean operative time and post operative blood loss is significantly lower in cases undergoing thyroidectomy with Ligasure as compared to conventional technique.