title: Thyroid surgery with a harmonic scalpel: an experimental study.
abstract: BACKGROUND
  The goal of the study was to determinate the safety of the harmonic scalpel, widely used in thyroidectomy, near the recurrent laryngeal nerve (RLN).
  
  
  METHODS
  The study involved ten pigs of either sex. Twenty RLNs at risk were dissected using the new harmonic scalpel FOCUS. The distances between the nerve and the activated instrument were checked with a millimeter ruler. After dissection, the pigs were euthanized, and both RLNs were fixed in formol and examined by histology after staining with hematoxylin-eosin. Due to technical reasons, only 18 RLNs from the ten pigs could be examined.
  
  
  RESULTS
  In the experiment that investigated the extent of heat injury, ultrasonic dissection did not cause any immediate damage of the nerve even close to the RLN (1 mm away from the RLN).
  
  
  CONCLUSIONS
  The use of harmonic scalpel FOCUS for thyroid surgery is safe for the surrounding structures (nerves). Careful tissue applications of the device near the RLN (1 mm) did not cause any lesion histologically.
authors.affiliation: Department of Head and Neck Surgery, Centre Hospitalier Universitaire Charleroi, Charleroi, Belgium.
authors.forename: Didier
authors.initials: D
authors.lastname: Dequanter
authors.affiliation: Department of Pathology, Universitair Ziekenhuis Antwerpen, Antwerp, Belgium.
authors.forename: Martin
authors.initials: M
authors.lastname: Lammens
authors.affiliation: Department of Head and Neck Surgery, Centre Hospitalier Universitaire Charleroi, Charleroi, Belgium.
authors.forename: Nathalie
authors.initials: N
authors.lastname: Nagy
authors.affiliation: Department of Head and Neck Surgery, Centre Hospitalier Universitaire Charleroi, Charleroi, Belgium.
authors.forename: Mohammad
authors.initials: M
authors.lastname: Shahla
authors.affiliation: Department of Head and Neck Surgery, Centre Hospitalier Universitaire Charleroi, Charleroi, Belgium.
authors.forename: Yasmine
authors.initials: Y
authors.lastname: Deniz
authors.affiliation: Department of Head and Neck Surgery, Centre Hospitalier Universitaire Charleroi, Charleroi, Belgium.
authors.forename: Christine
authors.initials: C
authors.lastname: Aubert
authors.affiliation: Department of Head and Neck Surgery, Centre Hospitalier Universitaire Charleroi, Charleroi, Belgium.
authors.forename: Youri
authors.initials: Y
authors.lastname: Vanhemelrijck
authors.affiliation: Department of Head and Neck Surgery, Centre Hospitalier Universitaire Charleroi, Charleroi, Belgium.
authors.forename: Philippe
authors.initials: P
authors.lastname: Lothaire
keywords: harmonic scalpel; recurrent laryngeal nerve; thyroid surgery