The assessment of the influence of the method for obtaining hemostasis on the occurrence of postoperative complications after thyroid surgery.
BACKGROUND
The need to obtain successful surgical hemostasis had a significant impact on the development of electrosurgery. Innovative technical solutions necessitate the continuous training of surgeons in the use of more modern technologies. The diversity of solutions is also associated with the need to adapt the methods for obtaining hemostasis to the type of operation. Each time, the introduction of new technologies requires a critical evaluation of the results of surgical treatment. The most important measure of quality in thyroid surgery is the presence of chronic complications, such as the recurrent laryngeal nerve palsy and parathyroid insufficiency. Transient disorders also have a significant impact on the patient's comfort and quality of life. The report is preliminary in nature and it requires further investigation.


OBJECTIVE
The aim of the study was to evaluate the effect of three methods for obtaining hemostasis on the occurrence of hypoparathyroidism, recurrent laryngeal nerve palsy, bleeding and the surgical site infection after thyroid surgery.


METHODS
A retrospective analysis included patients who underwent thyroidectomy (n=654). Three methods of hemostasis were used. The first group (n=339) had blood vessels tied off. In the second (n=192) bipolar electrocoagulation was used and in the third one (n=123) bipolar electrocoagulation with integrated cutting mechanism.


RESULTS
The transient hypoparathyroidism was found in 1.4% patients in the first group, 8.3% in the second and 27.6% in the third one. Chronic hypoparathyroidism was found in 0.29% in the first group, 0% in the second group and 2.4% in the third group. Significantly statistical differences were found in the incidence of transient hypoparathyroidism.


CONCLUSIONS
Significant statistical differences were found in incidences of transient hypoparthyroidism in the group where bipolar electrosurgery was used.
Institute of Health Care, State Higher Vocational School in Suwałki, Poland.
Zbysław W
ZW
Grajek
1st Department of General and Endocrinological Surgery, Medical Univeristy of Białystok, Poland.
Jacek
J
Dadan
1st Department of General and Endocrinological Surgery, Medical Univeristy of Białystok, Poland.
Jerzy R
JR
Ładny
Department of General Surgery, Regional Hospital in Suwałki, Poland.
Marcin
M
Opolski
D016063:Blood Loss, Surgical / Q000517:prevention & control*; D004564:Electrocoagulation / Q000009:adverse effects; D006489:Hemostatic Techniques / Q000009:adverse effects*; D006801:Humans; D007011:Hypoparathyroidism / Q000175:diagnosis / Q000209:etiology*; D015994:Incidence; D008026:Ligation / Q000009:adverse effects; D011044:Poland / Q000453:epidemiology; D019106:Postoperative Hemorrhage / Q000175:diagnosis / Q000453:epidemiology*; D012189:Retrospective Studies; D012307:Risk Factors; D013530:Surgical Wound Infection / Q000175:diagnosis / Q000453:epidemiology*; D013965:Thyroidectomy / Q000009:adverse effects*; D013997:Time Factors; D016896:Treatment Outcome; D014826:Vocal Cord Paralysis / Q000175:diagnosis / Q000453:epidemiology*