Comparability between Focus Harmonic scalpel and different hemostatic methods in open thyroidectomy: A scientific overview and meta-analysis.
Head Neck. 2016 Oct;38(10):1571-Eight
Authors: Cannizzaro MA, Borzì L, Lo Bianco S, Okatyeva V, Cavallaro A, Buffone A
BACKGROUND: The aim of this overview was to match the efficacy and surgical outcomes of complete thyroidectomy between the Focus Harmonic scalpel (Ethicon, Cincinnati, OH) and different hemostatic procedures.
METHODS: An in depth search was carried out utilizing the PubMed and Cochrane databases from January 2008 to October 2014. Working time, blood loss, ache, problems, and hospital keep have been evaluated.
RESULTS: In comparison with typical methods or LigaSure Exact Vessel Sealing System (Medtronic, Minneapolis, MN), the usage of the Focus Harmonic scalpel lowered operative time by 22,428 minutes and blood loss by 13,914 mL. Size of hospital keep was considerably shorter within the Focus Harmonic scalpel group with a imply discount of zero.410 days.
CONCLUSION: Based on our meta-analysis, when evaluating the Focus Harmonic scalpel versus typical methods, it appears evident that the usage of this system in thyroid surgical procedure is related to a imply discount in working time, blood loss, and hospital keep, with none improve in ache and problems. There was no considerable distinction between the Focus Harmonic scalpel and the LigaSure Exact Vessel Sealing System. © 2016 Wiley Periodicals, Inc. Head Neck 38: First-1578, 2016.
PMID: 27224745 [PubMed – indexed for MEDLINE]