back to 2013, vol. 19, b. 1
Journal of IMAB - Annual Proceeding (Scientific Papers)
Publisher: Peytchinski, Gospodin Iliev
ISSN: 1312 773X (Online)
Issue: 2013, vol. 19, book 1;
Subject Collection: Medicine
Page: 408-411
DOI: 10.5272/jimab.2013191.408
Published online: 10 June 2013

J of IMAB. 2013; 19(1):408-411;
Rumen NenkovCorresponding Autor, Radoslav Radev, Ekaterina Marinova, Nikolay Cvetkov, Anatoli Semkov, Borislav Petrov
Department of Thoracic surgery, UMHAT "St. Marina", Medical University – Varna, Bulgaria.

New, modern devices for tissue resection have been introduced in the surgical treatment of thyroid diseases recent years.
Aim: To present our experience with the use of the harmonic scalpel in thyroid surgery.
Patients and methods: For the period 2008 - 2011, 1398 patients (6 to 74 years old) with various thyroid deseases were operated on in our clinic. The resection was performed through a classic Kocher,s collar incision in 583 patients, using minimally ivasive open access in 641 patients and with video-assisted technique in 174 patients. In all patients a harmonic scalpel device (Ethicon Endosurgery Care Inc) has been used. The length of  surgical incision, use of haemostatic instruments and ligatures, extent of resection, need of draining, operative time, intra- and postoperative complications, length of postoperative hospital stay have been examined .
Results: The volume of resection ranged from istmusectomy to total thyroidectomy. During all operation haemostatic instruments and ligatures have not been used. Lack of bleeding  and shortend operating time  - up to 45% were found. The use of draining is significantly reduced, regardless of the extent of resection. There was no increase in the incidence of intra- and postoperative complications.Тhe postoperative stay was significantly reduced.
Conclusion: In our opinion, the introduction in use of the harmonic scalpel changes the face of modern thyroid surgery providing reliable hemostasis and shortening the operating time significantly.

Key words: Thyroid surgery, harmonic scalpel.

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Please cite this article as:
Nenkov R, Radev R, Marinova E, Cvetkov N, Semkov A, Petrov B. THE HARMONIC SCALPEL APPLICATION IN THYROID SURGERY. J of IMAB. 2013; 19(1):408-411. DOI: 10.5272/ jimab.2013191.408.

Correspondence to: Rumen Nenkov, MD, PhD; Clinic of Thoracic Surgery, UMHAT "St. Marina", Medical University, Varna; 1 “Hristo Smirnenski” Str., Varna, Bulgaria

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Accepted for publication: 25 January 2013
Published online: 10 June 2013

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