Incidence of hypoparathyroidism after total thyroidectomy using conventional versus harmonic scalpel

Background As complete thyroidectomies are common procedures, we examine the effects on parathyroid hormone (PTH) levels of using a harmonic scalpel in conjunction with standard techniques. Patients and methods Eighty participants of this prospective, randomized research who had total thyroidectomie...

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Main Author: Walid R. Abdelaty
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2023-07-01
Series:Al-Azhar Assiut Medical Journal
Subjects:
Online Access:https://journals.lww.com/10.4103/azmj.azmj_48_23
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author Walid R. Abdelaty
author_facet Walid R. Abdelaty
author_sort Walid R. Abdelaty
collection DOAJ
description Background As complete thyroidectomies are common procedures, we examine the effects on parathyroid hormone (PTH) levels of using a harmonic scalpel in conjunction with standard techniques. Patients and methods Eighty participants of this prospective, randomized research who had total thyroidectomies in the General Surgery Department were divided into two equal groups at random: complete thyroidectomy was performed with a harmonic scalpel in group I and a standard approach in group II. Results There is a significant correlation between the surgical technique used and the decrease in PTH after surgery. Conclusion If the conventional method was applied following thyroidectomy, there was noticeable decrease in the postoperative serum PTH. When harmonic scalpel is used throughout a thyroidectomy, there is minimal risk of hypoparathyroidism, excellent dissection, and safety.
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publisher Wolters Kluwer Medknow Publications
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series Al-Azhar Assiut Medical Journal
spelling doaj-art-b2e8ff0fee484502a99de42b5359b2582025-01-17T15:28:29ZengWolters Kluwer Medknow PublicationsAl-Azhar Assiut Medical Journal1687-16932023-07-0121317117710.4103/azmj.azmj_48_23Incidence of hypoparathyroidism after total thyroidectomy using conventional versus harmonic scalpelWalid R. AbdelatyBackground As complete thyroidectomies are common procedures, we examine the effects on parathyroid hormone (PTH) levels of using a harmonic scalpel in conjunction with standard techniques. Patients and methods Eighty participants of this prospective, randomized research who had total thyroidectomies in the General Surgery Department were divided into two equal groups at random: complete thyroidectomy was performed with a harmonic scalpel in group I and a standard approach in group II. Results There is a significant correlation between the surgical technique used and the decrease in PTH after surgery. Conclusion If the conventional method was applied following thyroidectomy, there was noticeable decrease in the postoperative serum PTH. When harmonic scalpel is used throughout a thyroidectomy, there is minimal risk of hypoparathyroidism, excellent dissection, and safety.https://journals.lww.com/10.4103/azmj.azmj_48_23harmonic scalpelhypoparathyroidismthyroidectomy
spellingShingle Walid R. Abdelaty
Incidence of hypoparathyroidism after total thyroidectomy using conventional versus harmonic scalpel
Al-Azhar Assiut Medical Journal
harmonic scalpel
hypoparathyroidism
thyroidectomy
title Incidence of hypoparathyroidism after total thyroidectomy using conventional versus harmonic scalpel
title_full Incidence of hypoparathyroidism after total thyroidectomy using conventional versus harmonic scalpel
title_fullStr Incidence of hypoparathyroidism after total thyroidectomy using conventional versus harmonic scalpel
title_full_unstemmed Incidence of hypoparathyroidism after total thyroidectomy using conventional versus harmonic scalpel
title_short Incidence of hypoparathyroidism after total thyroidectomy using conventional versus harmonic scalpel
title_sort incidence of hypoparathyroidism after total thyroidectomy using conventional versus harmonic scalpel
topic harmonic scalpel
hypoparathyroidism
thyroidectomy
url https://journals.lww.com/10.4103/azmj.azmj_48_23
work_keys_str_mv AT walidrabdelaty incidenceofhypoparathyroidismaftertotalthyroidectomyusingconventionalversusharmonicscalpel