Bipolar Thermofusion BiClamp 150 in Thyroidectomy: A Review of 1156 Operations

Objectives. To compare the bipolar thermofusion BiClamp 150 with conventional ligature techniques for thyroid gland surgery, and report the advantages/disadvantages of both techniques. Methods. In this retrospective comparative study, all thyroid gland operations performed in the ENT Clinic Faculty...

Full description

Bibliographic Details
Main Authors:	Pniak, Tomáš, Formánek, Martin, Matoušek, Petr, Zeleník, Karol, Komínek, Pavel
Format:	Online
Language:	English
Published:	Hindawi Publishing Corporation 2014
Online Access:	https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4009215/

id	pubmed-4009215
recordtype	oai_dc
spelling	pubmed-40092152014-05-14 Bipolar Thermofusion BiClamp 150 in Thyroidectomy: A Review of 1156 Operations Pniak, Tomáš Formánek, Martin Matoušek, Petr Zeleník, Karol Komínek, Pavel Research Article Objectives. To compare the bipolar thermofusion BiClamp 150 with conventional ligature techniques for thyroid gland surgery, and report the advantages/disadvantages of both techniques. Methods. In this retrospective comparative study, all thyroid gland operations performed in the ENT Clinic Faculty Hospital Ostrava from 2006 to 2013 were included (1156 operations, 2122 lobes). Patients were categorized into two groups according to the type of vessel sealing method used, group I (BiClamp, n = 819 operations) and group II (conventional ligature, n = 337 operations). The number of revision surgeries due to wound hematoma was recorded as a bleeding event. Statistical analysis of the complication rate (bleeding rate, recurrent nerve palsy) and time of duration was performed. Results. The rate of revision surgery performed due to postoperative wound hematoma was significantly lower in group I (15/819, 1.83%) compared with group II (14/337, 4.15%) (P = 0.022). There was no statistically significant difference in the frequency of recurrent laryngeal nerve palsy between groups I and II (P = 0.36). The average surgery time was significantly shorter in group I (P < 0.001). Conclusion. Bipolar thermofusion BiClamp is an effective vessel sealing method that leads to a significant reduction in postoperative wound bleeding rates and reduces surgical time compared with conventional vessel ligature. Hindawi Publishing Corporation 2014 2014-04-16 /pmc/articles/PMC4009215/ /pubmed/24829915 http://dx.doi.org/10.1155/2014/707265 Text en Copyright © 2014 Tomáš Pniak et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
repository_type	Open Access Journal
institution_category	Foreign Institution
institution	US National Center for Biotechnology Information
building	NCBI PubMed
collection	Online Access
language	English
format	Online
author	Pniak, Tomáš Formánek, Martin Matoušek, Petr Zeleník, Karol Komínek, Pavel
spellingShingle	Pniak, Tomáš Formánek, Martin Matoušek, Petr Zeleník, Karol Komínek, Pavel Bipolar Thermofusion BiClamp 150 in Thyroidectomy: A Review of 1156 Operations
author_facet	Pniak, Tomáš Formánek, Martin Matoušek, Petr Zeleník, Karol Komínek, Pavel
author_sort	Pniak, Tomáš
title	Bipolar Thermofusion BiClamp 150 in Thyroidectomy: A Review of 1156 Operations
title_short	Bipolar Thermofusion BiClamp 150 in Thyroidectomy: A Review of 1156 Operations
title_full	Bipolar Thermofusion BiClamp 150 in Thyroidectomy: A Review of 1156 Operations
title_fullStr	Bipolar Thermofusion BiClamp 150 in Thyroidectomy: A Review of 1156 Operations
title_full_unstemmed	Bipolar Thermofusion BiClamp 150 in Thyroidectomy: A Review of 1156 Operations
title_sort	bipolar thermofusion biclamp 150 in thyroidectomy: a review of 1156 operations
description	Objectives. To compare the bipolar thermofusion BiClamp 150 with conventional ligature techniques for thyroid gland surgery, and report the advantages/disadvantages of both techniques. Methods. In this retrospective comparative study, all thyroid gland operations performed in the ENT Clinic Faculty Hospital Ostrava from 2006 to 2013 were included (1156 operations, 2122 lobes). Patients were categorized into two groups according to the type of vessel sealing method used, group I (BiClamp, n = 819 operations) and group II (conventional ligature, n = 337 operations). The number of revision surgeries due to wound hematoma was recorded as a bleeding event. Statistical analysis of the complication rate (bleeding rate, recurrent nerve palsy) and time of duration was performed. Results. The rate of revision surgery performed due to postoperative wound hematoma was significantly lower in group I (15/819, 1.83%) compared with group II (14/337, 4.15%) (P = 0.022). There was no statistically significant difference in the frequency of recurrent laryngeal nerve palsy between groups I and II (P = 0.36). The average surgery time was significantly shorter in group I (P < 0.001). Conclusion. Bipolar thermofusion BiClamp is an effective vessel sealing method that leads to a significant reduction in postoperative wound bleeding rates and reduces surgical time compared with conventional vessel ligature.
publisher	Hindawi Publishing Corporation
publishDate	2014
url	https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4009215/
_version_	1612085092459479040

Bipolar Thermofusion BiClamp 150 in Thyroidectomy: A Review of 1156 Operations

Similar Items