HARMONIC SCALPEL VERSUS CONVENTIONAL TECHNIQUE IN TOTAL THYROIDECTOMY (COMPARATIVE STUDY)

Background: Thyroid gland is a highly vascular organ. So, doing thyroidectomy requires good hemostasis even for the small blood vessels either through conventional tie technique which time-consuming or use of harmonic scalpel. Objective: To evaluate real benefits Harmonic Scalpel in total thyroidectomies when compared with ligation, terms operative time, postoperative drainage, and complications. Patients methods: This randomized, prospective observational study was carried out at Al-Zahraa University Hospital, Al-Azhar University, Cairo, Egypt.  Written informed consents were obtained from Seventy-six patients benign goiter disorders who scheduled elective during period August 2019 to October 2020. Thirty eight submitted (group A), thirty underwent using scalpel B). Results: There no statistical difference between two groups as regards demographic data, hospital stay, recurrent laryngeal nerve injury, hypocalcemia, but there statistically significant time (76.9±15.1 min group A versus 89.23±17.68 B) drainage volume (111.75±56.57 mls 89 ± 16.21 Conclusion: better choice volume.