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• W2400541793 abstract "Many studies have been conducted to investigate the efficacy of harmonic scalpels in thyroidectomies. Here, we present our clinical experiences with the instrument.The study was conducted at the General Surgery Department of the Ataturk University School of Medicine between January 2005 and July 2008. It was a prospective, randomized, controlled study. Patients with benign nodular goiter (BNG) were included in the study and randomly divided into three groups. The first group consisted of 47 patients, the second group consisted of 57 patients, and the third group consisted of 41 patients. Patients in the first group underwent the classical thyroidectomy. Those in the second group had only the superior thyroid arteries and veins ligated (with silk or polyglactin), while the other vascular structures were divided using a harmonic scalpel. In the third group, all arteries and veins of the thyroid gland were divided using a harmonic scalpel. In each group, mean operation time, amount of bleeding, amount of postoperative drainage, and other postoperative complications were recorded.Operation time was significantly lower for patients in the third group. The degree of bleeding and postoperative drainage was lower in the second and third groups with respect to the first group. There was no significant difference among the groups in terms of the development of transient hypocalcemia or voice impairment.We conclude that the use of harmonic scalpels for a thyroidectomy is safe, shortens operative time, and decreases intraoperative bleeding.Harmonik kesici (HK) farklı cerrahi işlemlerde gittikçe daha fazla kullanılmaktadır. HK’nın tiroidektomideki etkinliğinin saptamak için çok sayıda çalışmalar yapılmıştır. Biz burada HK’nin tiroidektomide kullanımı ile ilgili olarak kendi deneyimlerimizi sunmayı amaçladık.Çalışma Atatürk Üniversitesi Tıp Fakültesi genel Cerrahi Anabilim Dalı’nda Ocak 2005 Temmuz 2008 tarihleri arasında yapıldı. Çalışma, kontrollü, prospektif ve randomize olarak planlandı. Selim nodüler guatrı olan hastalar çalışmaya dahil edildi. Hastalar 3 gruba ayrıldı. Birinci grup 47, ikinci grup 57 ve üçüncü grup ise 41 hastadan oluşmaktaydı. Birinci gruba klasik tiroidektomi yapıldı. İkinci grupta sadece üst tiroid arterleri ve venleri ipek veya poliglaktin ile bağlandı ve diğer damarsal yapılar HK ile kesildi. Üçüncü grupta tiroidin tüm arterleri ve venleri HK ile kesildi. Ortalama ameliyat süresi, kanama miktarı, ameliyat sonrası drenaj miktarı ve diğer ameliyat sonrası komplikasyonlar not edildi.Ameliyat süresi 3. grupta önemli oranda kısaydı. Ameliyattaki kanama miktarı ve dreni olan hastalarda ameliyat sonrası dönemde drenaj miktarı 2. ve 3. grupta daha düşüktü. Geçici hipokalsemi ve ses kısılmasında gruplar arasında önemli bir fark yoktu.HK’nın tiroidektomide güvenli bir biçimde kullanılabileceği, ameliyat süresini kısalttığı ve ameliyatta meydana gelen kanamayı azalttığı sonucuna vardık." @default.
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• W2400541793 date "2008-08-01" @default.
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• W2400541793 title "The use of harmonic scalpels in thyroidectomies: clinical experiences." @default.
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