Danish Ahmad, Kinza Imran, Shahw Ar Shakil.
Harmonic Scalpel Compared to Conventional Homeostasis in Thyroid Surgery.
Pak J Med Health Sci Jan ;12(1):46-9.

Aim : To decide whether conventional homeostasis (CH) or the Harmonic Scalpel (HS) brings about shorter agent times for thyroidectomy and also to compare the rate of postoperative intricacies among these two groups. Methodology : this randomized control trail was conducted in general surgery department of Allied Hospital, Faislabad. Total of 120 patients were enrolled in the study. for the duration of one year (November 2016 to November 2017). 50% of the total patients (n=60) were operated with (Harmonic Scalpel, HS Group) and 60( 50%) were operated with Conventional Homeostasis (CH Group). The upshot of the study included operative time, the drainage volume in the suction balloon within first 24 hours of surgery, hospital stay and postoperative pain. The quantity of blood loss after the surgery was evaluated by drainage volume and it was used to determine the actual difference between the study groups. Result showed that the me an operative time of the HS group and CH group was 44.91+/-2.55 minutes and 73.86+/-5.59 minutes respectively. The mean operative time of HS group was significantly shorter than that of CH group, (p=0.000). The mean postoperative drainage at 24 hours of the HS group and CH group was 36.61+/-5.39mL and 58.11+/-4.49mL respectively. The total drainage fluid volume was lower in the HS group than in the CH group. The mean hospital stay of HS group was shorter that of CH group. The difference was statistically significant, (p=0.000). Conclusion: The use of Harmonic scalpel causes diminished postoperative complexities, lessen the span of hospital stay, reduces the intra-operative time and proves to be more effective and proficient.

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