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Head Neck. 2012 Jun;34(6):805-12. doi: 10.1002/hed.21815. Epub 2012 Feb 2.

Total thyroidectomy with ultrasonic scalpel: a multicenter, randomized controlled trial.

Author information

1
Department of Head and Neck Surgery and Otorhinolaryngology, Hospital AC Camargo, São Paulo, Brazil. lp_kowalski@uol.com.br

Abstract

BACKGROUND:

The ultrasonic scalpel is a recently introduced device in head and neck surgery. Total thyroidectomy is the most common endocrine procedure performed by surgeons.

METHODS:

This was an open, phase IV, multicenter, randomized controlled trial (RCT) that compared the use of an ultrasonic scalpel with a conventional technique in patients who underwent total thyroidectomy. The outcomes were surgical complication rate, operative time, drainage volume, postoperative pain, and costs.

RESULTS:

In all, 261 patients were included in 11 centers. There was a mean difference of 17% of operative time in favor of the ultrasonic scalpel group. There were no differences in postoperative complications. There was a difference in costs of 14% in favor of the ultrasonic scalpel group, but it was not statistically significant.

CONCLUSIONS:

The use of an ultrasonic scalpel was as safe as that of the conventional technique and had the advantage of a shorter operative time and lower postoperative drainage. Costs were not different between groups.

PMID:
22302518
DOI:
10.1002/hed.21815
[Indexed for MEDLINE]

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