Hemostasis in Thyroidectomy, Comparison Between Diathermy and Ligasure

Study Overview
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Brief Summary
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Thyroidectomy is one of the most surgeries done by surgeons. Postoperative bleeding is a main complication for this surgery.surgeons usually do homeostasis by traditional diathermy as it is cheep and available in all hospitals and centres. Atlternatinve surgery devices have become popular to conventional hemostasis in thyroid surgery. These devices reduce operative time and post-operative complication .Investigators thought to examine relative efficiency of two alternative energy devices compared to each other in preventing post-operative complication between diathermy and ligasure.

Detailed Description
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Thyroid surgery is one of the most frequently performed surgical procedures worldwide . Nowadays, total thyroidectomy is the recommended procedure for thyroid disease . As total thyroidectomy is the procedure of choice, the most common complication resulting after this surgery is transient hypocalcemia - the incidence being 24% - which increases the morbidity rate and increases the length of hospitalization. Other complications of thyroidectomy include recurrent laryngeal nerve injury which leads to hoarseness of voice, postoperative hemorrhage, dysphagia due to inflammation of the tissues surrounding the esophagus, seroma formation, Horner's syndrome due to injury to the cervical sympathetic chain, and poor healing of the wound with hypertrophy of the scar or wound infection . Atlternatinve surgery devices have become popular to conventional hemostasis in thyroid surgery. These devices reduce operative time and post-operative complication .Investigators thought to examine relative efficiency of two alternative energy devices compared to each other in preventing post-operative complication between diathermy and ligasure.

Official Title
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Hemostasis in Thyroidectomy, Comparison Between Diathermy and Ligasure

Conditions
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Thyroid

Intervention / Treatment
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* Procedure: thyroidectomy


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: • Patient with disburbed thyroid function and candidate for for thyroidectomy Exclusion Criteria: Low preoperative calcium level and Patient with contraindication of uses of ligasure or diathermy.
Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: In about 20 participants , the investigators will control bleeding and cut tissues and blood vessels using the diathermy and in the other 20 , investigators will do homeostasis with ligasure.
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Patients will do throidectomy using diathermy<br>In these patients the investigators will control bleeding and cut tissues and blood vessels using the diathermy . | Procedure: thyroidectomy<br>* use diathermy or ligasure for homeostatic during thyroidectomy<br>|
| Active Comparator: Patients will do thyroidectomy using ligasure .<br>In these patients the investigators will control bleeding and cut tissues and blood vessels using the liagasure. | Procedure: thyroidectomy<br>* use diathermy or ligasure for homeostatic during thyroidectomy<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Finding the best methode to decrease intraoperative and postoperative bleeding during thyroidectomy | This study is aiming to make a comparison between the incidence of intraoperative and postoperative bleeding while using diathermy versus using ligasure in homeostasis during thyroidectomy. The investigators will do their best to answer this question... 1. ls rate of postoperative complications decrease while using the ligasure than using traditional diathermy ? | 6 months |