Kalin Nicolaev VİDİNOV, Tanio Ivanov SECHANOV

Thyroid surgery: comparison between "ultrasonic scalpel-SonoSurg" and classic "clamp and tie" technique

Amaç: Bu prospektif çalışmanın amacı tiroid bezi açık cerrahisinde "ultrasonic scalpel" yönteminin etkinliğini ve güvenirliğini değerlendirmek ve konvansiyonel operasyon tekniği ile karşılaştırmaktır.Yöntemler: Bu çalışma Mayıs 2013 ile Ağustos 2013 arası dönmede opere edilen 100 hastayı içermektedir. Hastalar iki gruba ayrıldı - 5 hasta SonoSurg® tekniği kullanılarak, 50 hasta da klasik "Klemp ve bağlama" tekniği kullanılarak opere edildi. Hasta sonuçlarını değerlendirdik ve iki grup arasında karşılaştırdık.Bulgular: Her iki grup cinsiyet dağılımı ve yaş gibi demografik özellikler ve fonksiyonel aktivite ile tiroid bezinin malign hastalıkları bakımından benzer dağılım gösterdi. Sonuçları kıyasladığımızda, SonoSurg® (SST) ameliyat grubunda cerrahinin süresinde anlamlı kısalma saptadık (72 ± 20 dk. ve 100 ± 32 dk, p = 0,01). 24 saatlik sıvı vakum drenajında iki grup arasında fark yoktu. Her iki grupta hastanede kalış süresi benzerdi, ortalama 3 gün klinikte kaldılar.Sonuç: Sonuçlarımız, "ultrasonic scalpel" yönteminin klasik operasyon tekniğine göre belirgin avantajları ile birlikte hemostazı sağlamada etkin, kolay uygulanabilir ve güvenilir bir yöntem olduğunu gösterdi

Tiroid cerrahisi: "Ultrasonic scalpel-SonoSurg" ile "clamp and tie" tekniklerinin karşılaştırılması

Objective: The purpose of this prospective study was to evaluate the efficacy and safety in the application of ultrasonic scalpel compared to conventional operative technique in open surgery of the thyroid gland.Methods: The study included 100 patients operated between May 2013 and August 2013. Patients were divided into two groups - 50 patients were operated using SonoSurg® and 50 patients were operated using classic "clamp and Tie" technique. We evaluated and compared the outcome between the two groups. Results: Both groups had a similar distribution in the demographic features such as gender, age, functional activity and malignant diseases of the thyroid gland. When comparing the results, we found a significant reduction in the duration of surgery in patients operated with SonoSurg® (SST group) (72 ± 20 min vs 100 ± 32 min, p = 0.01). There was no difference for fluid in the vacuum drainage during the first 24 hrs. Hospital stay of patients in both groups was similar - an average of 3 days stay into the clinic.Conclusion: Our results showed that "ultrasonic scalpel" is an effective, easy to use and completely reliable method for achieving hemostasis with visible advantages over classical operational technique.

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