TY - JOUR AU - Khan, Arif Raza AU - Waheed, Muhammad Rashid AU - Arif, Muhammad Asad Ullah PY - 2019/06/26 Y2 - 2024/03/29 TI - THE USE OF THE HARMONIC SCALPEL IN THYROID SURGERY. OUR EXPERIENCE JF - Journal of Medical Sciences JA - JMS VL - 27 IS - 2 SE - Articles DO - UR - https://jmedsci.com/index.php/Jmedsci/article/view/680 SP - 142-146 AB - <p>Objective: To evaluate the potential advantages of the use of Harmonic Scalpel in thyroidectomies in terms of operative<br>time and complications.<br>Material and Methods: This prospective study was conducted in private sector 2 hospitals, Said anwer medical centre,<br>and Abaseen Hospital, dabgari Gardens ,Peshawar-Pakistan. The study period was from January 2017 to March<br>2019 A total of 130 cases were recruited for thyroid surgery, 15 patients were dropped out due to different reasons. In<br>68 patients thyroidectomies were performed using harmonic scalpel FOCUS (group A), &amp; in 47 without it (group B).<br>RESULTS: Mean operative time was 120 minutes in group A and 150 minutes in group B with a mean difference of 30<br>minutes (14.9%). 55 patients in group A (81.35%) and 34 in group B (73.4%) were discharged in second postoperative<br>day. In group A, hypoparathyroidism was present in 34 patients at discharge (48%), in 23 at 6 months (3.38%) and in<br>10 at 12 months (2.13%), in group B, in 25 at discharge (54.26%), in 61 at 6 months (12.98%) and in 28 at 12 months<br>(5.96%).<br>Conclusion: The use of Harmonic Scalpel in thyroid surgery is safe and effective and is associated with a significant<br>reduction in operative time, postoperative hypocalcaemia and hospital stay, without increasing complications rate</p> ER -