Thyroidectomy Hemostasis.
Total thyroidectomy has significantly changed over the years from a morbid procedure to one that is performed routinely on an outpatient basis. This article reviews the history of thyroid surgery with regard to hemostasis, discusses surgical vascular anatomy, and describes the methods of hemostasis. It compares traditional hemostatic surgical techniques with newer techniques such as the Harmonic Scalpel and LigaSure hand pieces. The use of adjunctive hemostatic agents and indications for a drain in thyroid are discussed.
Department of Otolaryngology - Head and Neck Surgery, 981225 Nebraska Medical Center, Omaha, NE 68198-1225, USA; Nebraska Methodist Hospital, Estabrook Cancer Center, 8303 Dodge Street, Omaha, NE, USA.
Russell B
RB
Smith
Department of Otolaryngology - Head and Neck Surgery, 981225 Nebraska Medical Center, Omaha, NE 68198-1225, USA; Nebraska Methodist Hospital, Estabrook Cancer Center, 8303 Dodge Street, Omaha, NE, USA. Electronic address: acoughlin82@gmail.com.
Andrew
A
Coughlin
D016063:Blood Loss, Surgical / Q000517:prevention & control*; D057186:Comparative Effectiveness Research; D004322:Drainage / Q000379:methods; D006406:Hematoma / Q000209:etiology / Q000601:surgery; D006488:Hemostasis, Surgical / Q000295:instrumentation / Q000379:methods; D006489:Hemostatic Techniques; D006801:Humans; D019106:Postoperative Hemorrhage / Q000209:etiology / Q000517:prevention & control; D013959:Thyroid Diseases / Q000601:surgery*; D013961:Thyroid Gland / Q000098:blood supply / Q000601:surgery; D013965:Thyroidectomy / Q000009:adverse effects / Q000379:methods
Harmonic Scalpel; Hemorrhage; Hemostasis; LigaSure; Thyroidectomy