Comparison of Liagure Safety in Thyroidectomy With Conventional Thyroidectomy
- Conditions
- Ligature; HemorrhageRecurrent Laryngeal Nerve InjuriesHypocalcemia
- 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
Patient who will undergo lobectomy , subtotal thyroidectomy , total thyroidectomy at time of study
Any age
- patient undergoing re-do surgery " completion thyroidectomy "
patient undergoing concomitant procedures as cervical lymphadenectomy or parathyroidectomy
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description ligasure throidectomy liagsure device the 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
Name Time Method Post-operative complications Postoperatively from day of surgery until one week post operatively Including RLN palsy , hypocalcemia , hemorrhage wound infection
- Secondary Outcome Measures
Name Time Method