ABSTRACT
Background: Thyroidectomy procedures are commonly performed surgeries for various thyroid disorders. Traditional knot tying techniques have been the standard for hemostasis during thyroidectomy. However, the harmonic scalpel, an advanced surgical tool, has gained popularity due to its potential benefits in reducing operative time, blood loss, and postoperative complications. The current research intended to relate surgical outcomes and patient recovery between harmonic scalpel surgery and conventional knot tying in thyroidectomy procedures.
Aim: The main goal of our study was to led a comparative study of surgical outcomes and patient recovery following thyroidectomy procedures using harmonic scalpel surgery and conventional knot tying techniques.
Methods: A retrospective analysis was led on patients who experienced thyroidectomy procedures between March 2023 and February 2024. Individuals were divided into two groups: Group A underwent thyroidectomy using harmonic scalpel surgery, whereas Group B underwent thyroidectomy with conventional knot tying techniques. Data on operative time, intraoperative blood loss, postoperative complications, length of hospital stay, and patient recovery were collected and analyzed using appropriate statistical methods.
Results: The study included 120 patients, with 60 in Group A and 60 in Group B. The mean operative time was meaningfully shorter in Group A compared to Group B (p < 0.05). Intraoperative blood loss was also lower in Group A than in Group B (p < 0.05). Postoperative complications, like wound infection and hypocalcemia, were less frequent in Group A compared to Group B. Additionally, patients in Group A had a shorter length of hospital stay and faster recovery compared to those in Group B.
Conclusion: Harmonic scalpel surgery demonstrated superior surgical outcomes and faster patient recovery associated to conventional knot tying techniques in thyroidectomy procedures. The use of harmonic scalpel caused in shorter operative times, reduced intraoperative blood loss, fewer postoperative complications, shorter hospital stays, and quicker recovery. Therefore, harmonic scalpel surgery may be considered a beneficial alternative to conventional knot tying in thyroidectomy procedures.
Keywords: Thyroidectomy, Harmonic Scalpel, Conventional Knot Tying, Surgical Outcomes, Patient Recovery, Comparative Analysis.