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Haemostatic devices in parotid surgery: a systematic review.
Allen, L; MacKay, C; Rigby, M H; Trites, J; Taylor, S M.
  • Allen L; Faculty of Medicine, QEII Health Sciences Centre, Dalhousie University, Halifax, Canada.
  • MacKay C; Division of Otolaryngology - Head & Neck Surgery, QEII Health Sciences Centre, Dalhousie University, Halifax, Canada.
  • Rigby MH; Division of Otolaryngology - Head & Neck Surgery, QEII Health Sciences Centre, Dalhousie University, Halifax, Canada.
  • Trites J; Division of Otolaryngology - Head & Neck Surgery, QEII Health Sciences Centre, Dalhousie University, Halifax, Canada.
  • Taylor SM; Division of Otolaryngology - Head & Neck Surgery, QEII Health Sciences Centre, Dalhousie University, Halifax, Canada.
J Laryngol Otol ; 135(10): 848-854, 2021 Oct.
Article in English | MEDLINE | ID: covidwho-1454702
ABSTRACT

OBJECTIVE:

The Harmonic Scalpel and Ligasure (Covidien) devices are commonly used in head and neck surgery. Parotidectomy is a complex and intricate surgery that requires careful dissection of the facial nerve. This study aimed to compare surgical outcomes in parotidectomy using these haemostatic devices with traditional scalpel and cautery.

METHOD:

A systematic review of the literature was performed with subsequent meta-analysis of seven studies that compared the use of haemostatic devices to traditional scalpel and cautery in parotidectomy. Outcome measures included temporary facial paresis, operating time, intra-operative blood loss, post-operative drain output and length of hospital stay.

RESULTS:

A total of 7 studies representing 675 patients were identified 372 patients were treated with haemostatic devices, and 303 patients were treated with scalpel and cautery. Statistically significant outcomes favouring the use of haemostatic devices included operating time, intra-operative blood loss and post-operative drain output. Outcome measures that did not favour either treatment included facial nerve paresis and length of hospital stay.

CONCLUSION:

Overall, haemostatic devices were found to reduce operating time, intra-operative blood loss and post-operative drain output.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Parotid Gland / Dissection / Facial Nerve / Hemostasis, Surgical Type of study: Randomized controlled trials / Reviews / Systematic review Limits: Female / Humans / Male / Middle aged Language: English Journal: J Laryngol Otol Journal subject: Otolaryngology Year: 2021 Document Type: Article Affiliation country: S0022215121001973

Full text: Available Collection: International databases Database: MEDLINE Main subject: Parotid Gland / Dissection / Facial Nerve / Hemostasis, Surgical Type of study: Randomized controlled trials / Reviews / Systematic review Limits: Female / Humans / Male / Middle aged Language: English Journal: J Laryngol Otol Journal subject: Otolaryngology Year: 2021 Document Type: Article Affiliation country: S0022215121001973