title: Novel hemostatic devices in thyroid surgery: are they necessary in every patient performing thyroidectomy?
abstract: TThis study was conducted to compare the outcome of total thyroidectomy using novel hemostatic devices and the classic suture ligation technique. This prospective study included 195 consecutive patients undergoing total thyroidectomy between January 2008 and March 2009. The main outcomes measured were operating time, intraoperative blood loss, postoperative drainage, pain score, and postoperative complications. The three groups tested were similar in terms of demographics, thyroid gland weight and pathology, and postoperative complications. According to two-way analysis of variance, the use of hemostatic devices in thyroid volume less than 40 ml was not found to significantly correlate with operating time, intraoperative blood loss or postoperative drainage. Novel hemostatic devices are safe, useful, and time-saving adjuncts for thyroid surgery, and the use of these devices seems to have great advantages in the patients with large goiters.
authors.affiliation: Department of General Surgery, Istanbul Medical Faculty Istanbul University Istanbul, Turkey.
authors.forename: Yesim
authors.initials: Y
authors.lastname: Erbil
authors.forename: Aziz
authors.initials: A
authors.lastname: Sümer
authors.forename: Serkan
authors.initials: S
authors.lastname: Sari
authors.forename: Candas
authors.initials: C
authors.lastname: Ercetin
authors.forename: Halim
authors.initials: H
authors.lastname: Issever
authors.forename: Selçuk
authors.initials: S
authors.lastname: Ozarmagan
mesh_terms: D005260:Female; D006488:Hemostasis, Surgical / Q000295:instrumentation* / Q000379:methods; D006801:Humans; D008297:Male; D008875:Middle Aged; D013965:Thyroidectomy / Q000295:instrumentation* / Q000379:methods