Intraoperative and Postoperative Blood Loss in Subtotal Thyroidectomy Using Ligasure versus Conventional Thread Knot and Cautery

  • Muhammad Yaqoob Assistant Professor, Surgery Faisalabad Medical University / Allied Hospital, Faisalabad Pakistan
  • Soofia Irfan Assistant Professor, Department of Surgery, Faisalabad Medical University, Faisalabad Pakistan
  • Sajid Rehman Randhawa Associate Professor, Department of Surgery, Faisalabad Medical University, Faisalabad Pakistan
  • Durre-i- Chaman Assistant Professor, Department of Surgery, Faisalabad Medical University, Faisalabad Pakistan
  • Muhammad Dilawaiz Mujahid Assistant Professor, Department of Surgery, Faisalabad Medical University, Faisalabad Pakistan
  • Saima Zafar Consultant Surgeon Jhumra, Faisalabad Pakistan
  • Muhammad Sajid Professor, Department of Surgery, Faisalabad Medical University, Faisalabad Pakistan
Keywords: Subtotal thyroidectomy, Intraoperative blood loss, Postoperative blood loss

Abstract

Background: Thyroidectomy is a common procedure performed & thyroid gland being highly vascular, its surgery results in lot of bleeding. New energy devices like, ligasure are being commonly used nowadays in thyroid surgery to reduce per-operative bleeding. Objective: To compare intraoperative and postoperative blood loss in subtotal thyroidectomy using small jaw Ligasure versus conventional vessel knotting and Cautery. Study Design: Randomized controlled trial. Settings: Department of General Surgery, Allied Hospital, Faisalabad Pakistan. Duration: Six months from 11-09-2020 to 10-03-2021. Methods: Total 160 patients 80 in each group) with benign multinodular goiter were included in the study. Patients having thyroid malignancy, recurrent goiter requiring redo surgery and coagulopathies were excluded. Group A patients underwent subtotal thyroidectomy with conventional thread vessel knotting and Cautery and group B patients were operated with Ligasure small jaw device. Intraoperative and postoperative blood loss of all patients was measured and documented. Data was analyzed by SPSS 23.0. A p-value ≤0.05 was taken as significant. Results: Mean intra-operative blood loss was calculated as 116 ± 4ml in group-A and 59 ± 4ml in group-B and (p=0.001). The mean post-operative blood loss was calculated to be 81 ± 3ml in group-A and 53 ± 3ml in group-B (p=0.001). Conclusion: Subtotal thyroidectomy in benign multinodular goiters with Ligasure small jaw device has significantly less blood loss both intraoperative and postoperatively as compared to conventional Cautery and thread vessel knotting.

Published
2022-03-31
How to Cite
Yaqoob, M., Irfan, S., Randhawa, S. R., Chaman, D.- i-, Mujahid, M. D., Zafar, S., & Sajid, M. (2022). Intraoperative and Postoperative Blood Loss in Subtotal Thyroidectomy Using Ligasure versus Conventional Thread Knot and Cautery. Annals of Punjab Medical College, 16(1), 65-68. https://doi.org/10.29054/apmc/2022.1211