Effectiveness of harmonic scalpel in patients submitted to total thyroidectomy: systematic review with meta-analysis
Rev. Assoc. Med. Bras. (1992, Impr.)
;
64(7): 649-657, July 2018. tab, graf
Article
Dans Anglais
| LILACS
| ID: biblio-976833
ABSTRACT
SUMMARY OBJECTIVE:
The objective of this study was to evaluate the efficacy and safety of the harmonic scalpel compared to the conventional technique in patients submitted to total thyroidectomy.METHOD:
This is a systematic review with inclusion of randomized controlled trials (RCTs) that compared both techniques. An electronic search was carried out in the Medline and Lilacs databases until June 2017. The outcomes analysed were operation time, intraoperative bleeding, surgical morbidity, and costs.RESULTS:
Data from 31 primary studies were included. The use of the harmonic scalpel correlates to a shorter operation time (p <0.001) and a lower volume of intraoperative bleeding (p <0.001). There were no differences in the risk of transient (p = 0.53) and permanent (p = 0.70) hypocalcaemia, transient (p = 0.61) and permanent (p = 0.50) dysfunctions of the inferior laryngeal nerve and hematoma (p = 0.14).CONCLUSION:
Total thyroidectomy using a harmonic scalpel is effective and safe compared to the conventional technique.
Texte intégral:
Disponible
Indice:
LILAS (Amériques)
Sujet Principal:
Instruments chirurgicaux
/
Thyroïdectomie
/
Procédures de chirurgie par ultrasons
/
Hémostase chirurgicale
Type d'étude:
Essai clinique contrôlé
/
Revues systématiques évaluées
Limites du sujet:
Humains
langue:
Anglais
Texte intégral:
Rev. Assoc. Med. Bras. (1992, Impr.)
Thème du journal:
EducaÆo em Sa£de
/
GestÆo do Conhecimento para a Pesquisa em Sa£de
/
Médicament
Année:
2018
Type:
Article
Pays d'affiliation:
Brésil
Institution/Pays d'affiliation:
Instituto do Cancer do Estado de Sao Paulo/BR
/
University of São Paulo School of Medicine/BR
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