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Radiofrequency dissection versus ‘knot tying’ in conventional total thyroidectomy

Published online by Cambridge University Press:  29 August 2014

M H Ozkul ,
R M Açikalin ,
H H Balikci ,
O Bayram  and
AA Bayram
M H Ozkul
Affiliation:
Department of Otorhinolaryngology, Haseki Research and Training Hospital, Istanbul, Turkey
R M Açikalin
Affiliation:
Department of Otorhinolaryngology, Haseki Research and Training Hospital, Istanbul, Turkey
H H Balikci*
Affiliation:
Department of Otorhinolaryngology, Susehri State Hospital, Sivas, Turkey
O Bayram
Affiliation:
Department of Otorhinolaryngology, Haseki Research and Training Hospital, Istanbul, Turkey
AA Bayram
Affiliation:
Department of Otorhinolaryngology, Haseki Research and Training Hospital, Istanbul, Turkey
*
Address for correspondence: Dr H H Balikci, Suşehri Devlet Hastanesi, Kulak Burun Bogaz Klinigi, 58600 Suşehri, Sivas, Turkey Fax: +90 346 311 48 03 E-mail: [email protected]
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Abstract

Objective:

To evaluate the safety and effectiveness of radiofrequency dissection in conventional ‘open’ total thyroidectomy.

Methods:

Thirty-nine patients scheduled for conventional total thyroidectomy were included in a prospective randomised study. Patients were randomly assigned to one of two groups: a radiofrequency dissection method was used in one group, and a knot tying technique was used in the other.

Results:

Significantly fewer surgical instruments and materials were required for the radiofrequency dissection group than the knot tying group (p < 0.01). There were no significant differences between the two groups in mean operative time, blood loss, post-operative drainage and pain, recurrent palsy, and hypocalcaemia (p > 0.05).

Conclusion:

Radiofrequency dissection is a safe alternative to the knot tying technique, and enables a significant reduction in the number of surgical instruments required for the operation.

Keywords

ThyroidectomyThyroid GlandGoiterCarcinomaPapillary
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 128 , Issue 9 , September 2014 , pp. 818 - 823
Copyright
Copyright © JLO (1984) Limited 2014 

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