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Comparison of Liagure Safety in Thyroidectomy With Conventional Thyroidectomy

Not Applicable
Not yet recruiting
Conditions
Ligature; Hemorrhage
Recurrent Laryngeal Nerve Injuries
Hypocalcemia
Interventions
Device: liagsure device
Registration Number
NCT05684536
Lead Sponsor
Imam Mohammad ibn Saud Islamic University
Brief Summary

To compare intraoperative and postoperative complication rates in thyroidectomy between ligasure and traditional vascular ligation and clipping .

Detailed Description

Due to the high vascularity of the thyroid gland and the relatively tiny operative field, rigorous hemostasis is an essential requirement for successful thyroid surgery. Blood vessel ligation and/or ligation are the primary means of attaining hemostasis in thyroidectomy. New technologies have been developed, including a vessel sealing device (ligasure) that seals vessels by fusing the inner layers of the vessel wall with minimal amounts of thermal dispersion burning and tissue friction, thereby minimizing the occurrence of unintentional burns.

yet. It is unclear whether the heat conveyed by a ligature can harm the recurrent laryngeal nerve due to its proximity to the berry ligament.

thromosis of the inferior parathyroidal gland's supplying artery during dissection may result from alternative prospective delineation of the inferior thyroidal artery using ligasure for dissection.

The purpose of this study is to assess the safety and efficacy of ligasure with standard vascular ligation in open thyroid surgery.

Recruitment & Eligibility

Status
NOT_YET_RECRUITING
Sex
All
Target Recruitment
20
Inclusion Criteria

Patient who will undergo lobectomy , subtotal thyroidectomy , total thyroidectomy at time of study

Any age

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Exclusion Criteria
  • patient undergoing re-do surgery " completion thyroidectomy "

patient undergoing concomitant procedures as cervical lymphadenectomy or parathyroidectomy

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Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
ligasure throidectomyliagsure devicethe vessel sealing device ( ligasure covidien ) which seals vessels by fusing the inner layers of the vessel wall, with dissection around ligament of berry and inferior thyroidal artery
Primary Outcome Measures
NameTimeMethod
Post-operative complicationsPostoperatively from day of surgery until one week post operatively

Including RLN palsy , hypocalcemia , hemorrhage wound infection

Secondary Outcome Measures
NameTimeMethod
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