Hemostasis in Thyroidectomy, Comparison Between Diathermy and Ligasure

Not Applicable

Not yet recruiting

• Conditions: Thyroid
• Interventions: Procedure: thyroidectomy

• Registration Number: NCT05567432
• Lead Sponsor: Assiut University

Brief Summary

Thyroidectomy is one of the most surgeries done by surgeons. Postoperative bleeding is a main complication for this surgery.surgeons usually do homeostasis by traditional diathermy as it is cheep and available in all hospitals and centres.

Atlternatinve surgery devices have become popular to conventional hemostasis in thyroid surgery. These devices reduce operative time and post-operative complication .Investigators thought to examine relative efficiency of two alternative energy devices compared to each other in preventing post-operative complication between diathermy and ligasure.

Detailed Description

Thyroid surgery is one of the most frequently performed surgical procedures worldwide . Nowadays, total thyroidectomy is the recommended procedure for thyroid disease . As total thyroidectomy is the procedure of choice, the most common complication resulting after this surgery is transient hypocalcemia - the incidence being 24% - which increases the morbidity rate and increases the length of hospitalization. Other complications of thyroidectomy include recurrent laryngeal nerve injury which leads to hoarseness of voice, postoperative hemorrhage, dysphagia due to inflammation of the tissues surrounding the esophagus, seroma formation, Horner's syndrome due to injury to the cervical sympathetic chain, and poor healing of the wound with hypertrophy of the scar or wound infection .

Atlternatinve surgery devices have become popular to conventional hemostasis in thyroid surgery. These devices reduce operative time and post-operative complication .Investigators thought to examine relative efficiency of two alternative energy devices compared to each other in preventing post-operative complication between diathermy and ligasure.

Study Timeline

• Study First Submitted: 2022-09-17
• Status Verified: 2022-10
• Study First Submitted QC: 2022-10-01
• Last Update Submitted: 2022-10-01
• Study First Posted: 2022-10-05
• Last Update Posted: 2022-10-05
• Study Start: 2023-01-01
• Primary Completion: 2023-12-30
• Study Completion: 2023-12-31

Recruitment & Eligibility

• Status: NOT_YET_RECRUITING
• Sex: All
• Target Recruitment: 40

Inclusion Criteria

• • Patient with disburbed thyroid function and candidate for for thyroidectomy

Exclusion Criteria

• Low preoperative calcium level and Patient with contraindication of uses of ligasure or diathermy.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Patients will do throidectomy using diathermy	thyroidectomy	In these patients the investigators will control bleeding and cut tissues and blood vessels using the diathermy .
Patients will do thyroidectomy using ligasure .	thyroidectomy	In these patients the investigators will control bleeding and cut tissues and blood vessels using the liagasure.

Primary Outcome Measures

Name	Time	Method
Finding the best methode to decrease intraoperative and postoperative bleeding during thyroidectomy	6 months	This study is aiming to make a comparison between the incidence of intraoperative and postoperative bleeding while using diathermy versus using ligasure in homeostasis during thyroidectomy.; * The investigators will do their best to answer this question... 1. ls rate of postoperative complications decrease while using the ligasure than using traditional diathermy ?