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Background: Thyroidectomies are commonly performed surgeries worldwide. With better knowledge of anatomy and major advent of energy devices, morbidity of thyroidectomy has drastically declined. Two main globally followed procedures to deal with vascular pedicles are conventional suture ligation and electro cautery devices. The objectives of the pre...
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Tonsillectomy as a surgical procedure has been practiced by ENT surgeons for a very long time. A common indication for Tonsillectomy is Chronic Tonsillitis, among others. The surgery is largely safe irrespective of the method used. Haemorrhage can be a life-threatening complication post Tonsillectomy if it is not identified and treated immediately....
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... This procedure has been established in many fields of surgery and has proved to be a pragmatic alternative to suture ligation in many applications [8]. It is generally considered a faster alternative to suture ligature techniques [9]. ...
Background: Lymphoceles are amongst the most common complications following kidney transplantation. Therefore, effective strategies to prevent their development are needed. The ligation of lymphatic vessels has proven to be a successful concept for that purpose. However, whether electrocauterization or suture ligation is more effective is unclear. Methods: We conducted a meta-analysis using a random effects model with the log risk ratio as the primary outcome measure. Additionally, an analysis using a random effects model with the raw mean difference in lymphatic sealing time between suture ligation and electrocauterization was performed. Adequate studies were found in a literature search conducted in PubMed, CENTRAL and Web of Science as well as from independent sources. Results: A total of 8 studies including 601 patients were included in the analysis. The estimated average log risk ratio based on the random effects model was µ = −0.374 (95% CI: −0.949 to 0.201), which did not differ significantly from zero (z = −1.28, p = 0.2). The lymphatic sealing time was 7.28 (95% CI:1.25–13.3) minutes shorter in the electrocauterization group. Conclusions: We conclude that neither technique is superior for the purpose of lymphocele prevention post kidney transplantation, and secondary criteria like time savings, cost and surgeons’ preference should be considered in the decision for an optimal outcome.
Article Citation: Hameed AR, Ammar AS, Saleem M, Naeem H, Hameed U, Khattak SB, Afzal A, Naqi SA. Comparison of outcome of conventional suture ligation versus ligasure vessel sealing in patients undergoing total thyroidectomy for multinodular goiter. Professional Med J 2023; 30(10): ABSTRACT… Objective: To compare the results of Ligasure versus conventional suture ligation for thyroidectomy for multinodular goiter in terms of mean operative time and post-operative drain output volume. Study Design: Comparative Prospective study. Setting: Department of General Surgery, Mayo Hospital Lahore. Period: 1 st April 2020 to 31 st March 2021. Material & Methods: After approval from the Institutional review board of King Edward medical university, a sample of 140 patients was obtained. Patients were divided into 2 groups, Group A and Group B. Group A patients underwent total thyroidectomy with Ligasure vessel sealing while Group B patients underwent total thyroidectomy with conventional suture ligation. Operative time and post-operative drain volume were measured and documented. The P-value of ≤ 0.05 was considered significant. Results: The average age of the patients was 36.04 ± 9.78 years with minimum and maximum ages being 18 & 61 years respectively. The mean surgery time was 137.80 ± 26.21 minutes in group A while in group B the mean surgery time of the patients was 164.91 ± 31.94 minutes (P-value= <0.001). The mean post-op drain volume in group A was 91.28 ± 7.82 ml, almost similar to group B patients i: e 70.28 ± 4.33 ml (P-value=0.14). Conclusion: Ligasure vessel sealing is significantly better than conventional suture ligation in terms of mean surgery duration but there is no difference in post-operative drain volume in both groups.
