Ligasure versus clamp-and-tie technique to achieve haemostasis in thyroidectomy: prospective comarative study

ABSTRACT

This study was carried out to compare postoperative outcomes in patients undergoing thyroidectomy with the use of LigaSure versus clamp and tie technique to assess whether operative time can be reduced without worsening the postoperative outcome. This study included 36 patients who underwent thyroidectomy and LigaSure was exclusively used for haemostasis in 19 patients and clamp and tie technique in 17 patients, both groups were compared regarding operative time, hypoca lcaemia, recurrent nerve palsy, cervical haematoma, hospital stay, postoperative drainage and period for return to normal activity. Both groups were statistically different for age [p=.005] and sex [p=.01] but not for underlying pathology. No mortality was reported in this study. No significant difference between both groups regarding hypocalcaemia, nerve palsy, hospital stay, cervical haematoma, postoperative drainage but there was significant reduction of operative time in LigaSure group in all types of thyroidectomy versus clamp and tie group [p=0.000] as well as the need for extradoses of analgesics and period for return to activity [p=0.000] LigaSure is equally as safe and effective as clamp and tie technique in thyroid surgery, moreover it significantly reduces operative time