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    • Evaluation of Harmonic Scalpel vs Ligasure Device in Thyroidectomy: A Prospective Randomized Study in a Tertiary Care Center

    Abdel- Moniem I El-Khateeb, Gamal A Makhlouf, Ahmed M Khalfallah
    General Surgery Department, Faculty of Medicine, Assiut University

    The harmonic scalpel HS (Johnson & Johnson®) and LigaSure LS (COVIDIEN®) are new technologies that have been introduced in the surgical treatment of thyroid diseases during recent years. The aim of this study is to evaluate the use of HS and LS in total thyroidectomy operation as regards the time of the operation, postoperative complications and duration of hospital stay. In the current study, 70 patients underwent total thyroidectomy for simple multinodular and toxic goitre in the period between June 2016 and June 2017. In all patients, total thyroidectomy was performed through a classic Kocher s incision. The harmonic scalpel was implemented on Group A (35 patients), while Group B (35 patients) were operated with Ligasure device. Both Groups were evaluated for the time of the operation, intra-operative and postoperative complications and the duration of hospital stay. The two Groups had similar demographics, thyroid pathology and type of operative procedure. In the present study, there was no statistically significant difference between the two Groups regarding the operative time, intra- and postoperative complications and duration of hospital stay. Conclusion: Both Harmonic scalpel and Ligasure device are safe and effective devices in total thyroidectomy operation for benign Goitre. Keywords: Harmonic Scalpel; Ligasure Device; Hypocalcaemia; hemostasis; total Thyroidectomy. 

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