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Revista chilena de cirugía

versión On-line ISSN 0718-4026

Resumen

GAC E, PATRICIO et al. Ligasure® for hemostasis during thyroidectomy. Rev Chil Cir [online]. 2008, vol.60, n.2, pp. 127-131. ISSN 0718-4026.  http://dx.doi.org/10.4067/S0718-40262008000200008.

Background: Traditionally, hemostasis during thyroidectomy is done using clamp ligation of vessels. There is a new hemostasis method based on thermal coagulation and pressure that be used in this type of surgery. Aim: To report the experience with Ligasure Precise® thermal hemostasis system. Material and methods: Prospective evaluation of patients subjected to thyroidectomy with or without the use of Ligasure®. The choice of patients for each type of hemostasis was not randomized. Operative time, surgical complications and postoperative evolution were assessed. Results: During the study period, 64 patients aged 43 + 15 years were operated using Ligasure® and 65, aged 47 + 12, were operated using traditional hemostasis. Among patients with and without use of Ligasure®, operative time was 92 and 94 minutes respectively (p=NS), wound drainage volume was 78 and 63 ml respectively (p=NS) and hospital stay was 2.6 and 2.3 days respectively (p = 0.02). One patient in each group had a hematoma, one patient operated with Ligasure® had a lesion of the recurrent laryngeal nerve. Six patients operated using Ligasure® and one operated without it, had transient hypocalcaemia. Conclusions: Ligasure® hemostasis system is safe in thyroidectomy

Palabras llave : Thyroidectomy; Ligasure®; hemostasis.

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