Title: Sutureless Thyroidectomy using Bipolar Diathermy and Hypocalcaemia- A Comparative Study In a Tertiary Care Centre
Authors: Rajendran .C.V, Gejoe.G, Rajesh Kumar R, Unnikrishnan Govindan
DOI: https://dx.doi.org/10.18535/jmscr/v5i1.42
Abstract
Background: total thyroidectomy is a common elective surgical procedure in a surgery department. Postoperative complications like hypocalcaemia are relatively common due to hypoparathyroidism.
The primary objective of our study was to find the incidence of hypocalcaemia in patients who underwent total thyroidectomy using sutureless technique, using bipolar diathermy, and classical thyroidectomy done in our department.
Materials and Method: study was conducted in our department during 2013-2014 after getting clearance from institutional ethics committee, as per declaration of Helsinki.Participants were patients undergoing total thyroidectomy in our institution.
Inclusion criteria: All adult patients with benign or malignant thyroid disease admitted for total thyroidectomy in our department
Exclusion criteria: with history of previous neck surgeries and with extra-thyroidal invasion present per-operatively. Patients with history of radiation treatment or radioiodine ablation, thyroidectomy cases with any other surgery planned adjunct to total thyroidectomies were also excluded.
Results: there was no statistically significant difference between the two groups. There was no association between temporary hypocalcaemia and sutureless thyroidectomy.
Discussion: the rate of temporary hypocalcaemia was about 25 percent and 20 percent respectively for the two groups, but the difference was not statistically significant.
Keywords: total thyroidectomy, sutureless thyroidectomy, bipolar diathermy, hypocalcaemia.
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