Arif Raza Khan, Muhammad Rashid Waheed, Muhammad Asad Ullah Arif.
The use of the harmonic scalpel in thyroid surgery. our experience.
J Med Sci Jan ;27(2):142-6.

Objective: To evaluate the potential advantages of the use of Harmonic Scalpel in thyroidectomies in terms of operative time and complications.Material and Methods: This prospective study was conducted in private sector 2 hospitals, Said Anwer Mdical Centre, and Abaseen Hospital, Dabgari Gardens ,Peshawar-Pakistan. The study period was from January 2017 to March 2019 A total of 130 cases were recruited for thyroid surgery, 15 patients were dropped out due to different reasons. In 68 patients thyroidectomies were performed using harmonic scalpel FOCUS (group A), & in 47 without it (group B).RESULTS: Mean operative time was 120 minutes in group A and 150 minutes in group B with a mean difference of 30 minutes (14.9%). 55 patients in group A (81.35%) and 34 in group B (73.4%) were discharged in second postoperative day. In group A, hypoparathyroidism was present in 34 patients at discharge (48%), in 23 at 6 months (3.38%) and in 10 at 12 months (2.13%), in group B, in 25 at discharge (54.26%), in 61 at 6 months (12.98%) and in 28 at 12 months(5.96%).Conclusion: The use of Harmonic Scalpel in thyroid surgery is safe and effective and is associated with a significant reduction in operative time, postoperative hypocalcaemia and hospital stay, without increasing complications rate.

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