Title: Comparison of Hypocalcemia between Conventional Suture Thyroidectomy and Harmonic Sutureless Thyroidectomy
Authors: Dr A.Abdul Latheef, Dr Ansar.P
DOI: https://dx.doi.org/10.18535/jmscr/v5i4.63
Abstract
Background- Thyroidectomy is one of most common surgeries performed by the general surgeon. Total thyroidectomy is the surgical treatment for thyroid cancer, toxic MNG and many benign thyroid diseases. Recurrent laryngeal nerve injury and hypocalcemia are the common complications observed in post thyroidectomy patients. Of these hypocalcemia is most common complication. Hypocalcemia may result from removal of parathyroid gland or glandular ischemia resulting thereof.
Methods: This study compared the post operative outcomes following conventional suture thyroidectomy with sutureless thyroidectomy with harmonic scalpel. In particular the occurrence of post-op hypocalcemia(temporary and permanent) were studied
Results: 108 patients underwent thyroidectomy for varied indications. The incidence of temporary hypocalcemia was found to be more frequent in sutureless thyroidectomy. But the incidence of permanent hypocalcemia not found to be significantly different among the two groups.
Conclusion: With equal incidence of permanent hypocalcemia in both the groups, harmonic sutureless thyroidectomy can be a good substitute for conventional suture thyroidectomy in modern era.
Keywords: thyroidectomy, hypocalcemia, harmonic scalpel, complications, sutureless.
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