Ligasure Vessel Sealing Versus Conventional Suture Ligation in Thyroidectomy

Abstract

Objective: To evaluate the efficacy of ligature sealing versus standard suture sealing for multinodular goiter
patients after thyroidectomy.
Method: The aim of our study is to evaluate the efficacy of ligature sealing versus standard suture sealing for
multinodular goiter patients after thyroidectomy. The research was done in the Mayo Hospital in Lahore,  Pakistan, specifically in the General Surgery Division. Ligasure-sealed patients made up Group A, while those in Group B were treated with traditional suture-ligation. The average duration of surgery, the average  amount of discomfort felt by the patient afterward, and the average amount of drain fluid collected aftersurgery
were all recorded.
Results: Eighty people in total participated in the study. Patients in Group-Ahad an average operation time of  67.3±6.9 minutes, while those in Group-B averaged 85.6±8.3 minutes; this difference was statistically  significant (p0.000001). Patients in group Areported an average of 2.6±1.3 units of pain, while those in group  B reported 1.7±0.7 units of pain; this difference was statistically significant (p 0.001). Patients in Group-A had a mean drain output of 53.5±4.9 ml following surgery, while those in Group-B had an output of 68.2±7.3 ml; this difference was statistically significant (p = 0.0001).
Conclusion: Thyroid surgery using ligature sealing is an effective and safe alternative to the standard approach, resulting in significantly less downtime, less discomfort, and less drainage after the procedure.