Total thyroidectomy with harmonic scalpel combined to gelatin-thrombin matrix hemostatic agent: Is it safe and effective? A single-center prospective study
作者： Giovanni Docimo , Salvatore Tolone , Roberto Ruggiero , Gianmattia del Genio , Luigi Brusciano
DOI: 10.1016/J.IJSU.2014.05.006
关键词:
摘要: Abstract Introduction Hemostasis during thyroidectomy is essential; however, the safest, most efficient and cost-effective way to achieve this unclear. The aim of study was evaluate outcome total (TT) performed with combination harmonic scalpel (HS) Floseal. Methods Patients undergone TT were divided into two groups: HS + Floseal traditional hemostasis groups. primary endpoint 24-h drain output blood-loss requiring reintervention. Secondary endpoints included surgery duration, postsurgical complications hypocalcemia rates. Results Between September 2012 January 2014, 165 patients enrolled (100 HS + Floseal, 65 standard hemostasis); 80.5% female; mean age 42.3 years. lower in group compared TT. also had a shorter time ( p Conclusion Floseal plus HS effective safe for it provides complementary hemostatic approach.
core.ac.uk
elsevier.com
researchgate.net 
journal-surgery.net 参考文章(44)
Giovanni Conzo, Roberto Ruggiero, C. Gambardella, Ernesto Tartaglia, Antonietta Palazzo, Salvatore Napolitano, F. Cavallo, C. Mauriello, Luigi Santini, Giovanni Docimo, Surgical treatment of papillary thyroid carcinoma without lymph nodal involvement. Il Giornale di chirurgia. ,vol. 33, pp. 339- 342 ,(2012)
Tolone S, Brusciano L, Conzo G, Casalino G, Ruggiero R, Gubitosi A, Pasquali D, Gili S, D'Alessandro A, Docimo L, Del Genio G, Docimo G, Role of pre and post-operative oral calcium and vitamin D supplements in prevention of hypocalcemia after total thyroidectomy. Il Giornale di chirurgia. ,vol. 33, pp. 374- 378 ,(2012)
Jacob P, Jadhav S, Kanthaswamy R, Riju R, Nair Cg, Is total thyroidectomy justified in multinodular goitre. Journal of the Indian Medical Association. ,vol. 107, pp. 223- 225 ,(2009)
J F Amaral, The experimental development of an ultrasonically activated scalpel for laparoscopic use. Surgical laparoscopy & endoscopy. ,vol. 4, pp. 92- 99 ,(1994)
Oliver Reuthebuch, Lachat, Vogt, Schurr, Turina, FloSeal: a new hemostyptic agent in peripheral vascular surgery. Vasa-european Journal of Vascular Medicine. ,vol. 29, pp. 204- 206 ,(2000) , 10.1024/0301-1526.29.3.204
Schurr, Turina, Lachat, Vogt, Oliver Reuthebuch, FloSeal®: Ein neuartiges Hämostyptikum in der peripheren Gefäßchirurgie Vasa-european Journal of Vascular Medicine. ,(2013) , 10.1024/0301-1526.29.3.204
Christian Mozet, Christiane Prettin, Maria Dietze, Ulrich Fickweiler, Andreas Dietz, Use of Floseal and effects on wound healing and pain in adults undergoing tonsillectomy: randomised comparison versus electrocautery European Archives of Oto-rhino-laryngology. ,vol. 269, pp. 2247- 2254 ,(2012) , 10.1007/S00405-011-1904-4
Tapash K. Palit, Charles C. Miller, Darlene M. Miltenburg, The efficacy of thyroidectomy for Graves' disease: A meta-analysis. Journal of Surgical Research. ,vol. 90, pp. 161- 165 ,(2000) , 10.1006/JSRE.2000.5875
Thomas Ecker, Andre Lopes Carvalho, Jun-Ho Choe, Gudrun Walosek, Klaus Juergen Preuss, Hemostasis in thyroid surgery: Harmonic scalpel versus other techniques—a meta-analysis Otolaryngology-Head and Neck Surgery. ,vol. 143, pp. 17- 25 ,(2010) , 10.1016/J.OTOHNS.2010.03.018
Antonio Pellegrino, Robert Fruscio, Andrea Maneo, Silvia Corso, Marco Battistello, Valentina Chiappa, Massimo Stomati, Harmonic scalpel versus conventional electrosurgery in the treatment of vulvar cancer. International Journal of Gynecology & Obstetrics. ,vol. 103, pp. 185- 188 ,(2008) , 10.1016/J.IJGO.2008.07.004