Comparison Of Use Of Ultrasonic Dissector With Electrocautery In Thyroid Surgery

Abstract

Objective: To determine whether use of ultrasonic dissector (UD) in thyroid surgery results in
shorter operative time, hospital stay and reduced average drainage and to compare the incidence
of postoperative complications with electrocautery (EC).
Material & Methods: Hundred patients with thyroid disease were inducted in the study. The
patients were randomized in two groups. Group A(EC), & Group B (UD).
Results: The study carried out on patients undergoing ultrasonic dissector group B (UD) for
thyroid surgery revealed meager post operative complications attributable to harmonic scalpel
but on the contrary the benefits were decrease in operative time, less post operative pain, less
drainage, early hospital discharge and very few complications as compared to Electrocautery
group A(EC).
Conclusion: The complete ultrasonic dissection of thyroid gland with Harmonic scalpel is not
only safe but it also reduces pain, hematoma formation and drainage. Hospital stay and operative
time is also shortened.