Comparative study between Harmonic scalpel, bipolar forceps Diathermy and Classic suture ligation in total thyroidectomy

Background: One of the procedures in general surgery that is most regularly carried out is a thyroidectomy.For many thyroid conditions, total thyroidectomy is the preferred course of action, Aim & objectives: The purpose of this study was to contrast the usage of Harmonic Scalpel, Bipolar forceps Diathermy and conventional clamp and tie technique in total thyroidectomy for treatment of non-toxic nodular goitre, as regards blood loss, hemostasis, time saving, nerve injury, parathyroid injury and post operative hospital stay. Patients and Methods: This study was conducted on 45 patients with non-toxic nodular goiter subjected to total thyroidectomy presented to Al-Azhar University Hospitals. The study was a prospective, randomized and double blind study comparing the use of Harmonic scalpel, bipolar forceps diathermy and clamp and tie techniques in patients undergoing total thyroidectomy for non-toxic nodular goiter. Results: Highly statistical significant (p-value < 0.001) decreased blood loss in group III (30 ± 8.2 ml) and group II (44.7 ± 10.3 ml) when compared with group I (76 ± 15.1 ml). Conclusion: In total thyroidectomy for treatment of non-toxic nodular goiter, Bipolar diathermy and harmonic focus are trustworthy and secure methods. In comparison to traditional hemostatic suture ligation, their use is more successful. At contrast to the harmonic scalpel, which is expensive and only available in higher centres, the bipolar cautery is more affordable and accessible in our government hospital.