COMPARISON BETWEEN TOTAL THYROIDECTOMY WITH LIGASURE SMALL JAW DEVICE VERSUS CONVENTIONAL VASCULAR LIGATURE TECHNIQUE

Abstract

Objective: To compare total thyroidectomy with LigaSure small jaw device with conventional vascular ligature technique in terms of mean operation time and intra-operative and postoperative blood loss.

Study Design: Randomized controlled trial.

Place and Duration of Study: Department of General Surgery, Military Hospital Rawalpindi from, Jun 2017 to Feb 2018.

Material and Methods: A total of 70 patients (35 in each group) diagnosed with benign multinodular goitermeeting the inclusion and exclusion criteria were included in the study. Patients with malignancy of thyroid, redo surgery and coagulopathies were excluded. Group A patients underwent total thyroidectomy with the LigaSure small jaw device while group B patients were operated by the conventional technique. Mean operative time, intraoperative and postoperative blood loss of all patients was documented. Data was analyzed by SPSS 23.0. A pvalue ≤0.05 was taken as significant.

Results: Mean operative time in group-A was 63.73 ± 3.67 minutes while in group-B it was 96.53 ± 7.96 minutes (p=0.000). Mean intra-operative blood loss was calculated as 42.13 ± 3.15 mL in group-A and 73.50 ± 3.66 mL in group-B (p=0.000). The mean post-operative blood loss was calculated to be 53.80 ± 3.17 mL in group-A and 63.80 ± 3.31 mL in group-B (p=0.000).

Conclusion: Total thyroidectomy with LigaSure small jaw device is significantly better when compared with conventional vascular ligature technique in terms of mean operation time, intra-operative and postoperative blood loss.