Bipolar Coagulation BiClamp® in the Operation on Thyroid Gland
Authors:
T. Pniak; Pavel Komínek
; P. Matoušek
; P. Štrympl
Authors place of work:
Otorinolaryngologická klinika Fakultní nemocnice Ostrava, přednosta doc. MUDr. P. Komínek, Ph. D., MBA
Published in the journal:
Otorinolaryngol Foniatr, 59, 2010, No. 1, pp. 15-18.
Category:
Original Article
Summary
Aim of the paper is to refer our experience with bipolar coagulation BiClamp 150 ERBE that works on the basis of thermofusion of tissue. Study has been focused in thyroid gland surgery.
We used this instrument in 61 thyroid gland operations. We performed 49 total thyroidectomies, 4 lobectomies, 2 hemithyroidectomies and 6 revision thyroidectomies. None revision was needed. We observed one-sided recurrent nerve palsy in 3 patients, once it has been spontaneusly resolved, once we had to cut the nerve due to tumorous infiltration.
Accordind to our experience, BiClamp is an effective method of hemostasis in head and neck surgery.
Key words:
thyroidectomy, hemostasis, bipolar coagulation, thermofusion of tissue.
Zdroje
1. Astl, J.: Chirurgická léčba nemocí štítné žlázy. Praha, MAXDORF, 2007, s. 29-173.
2. Cipolla, C., Graceffa, G., Sandonato, L. et al.: LigaSure in total thyroidectomy. Surg.Today, 6, 2008, s. 495-498.
3. Lee, S., Jeon, S., Lee, J. et al.: A comparison of postoperative pain and complications in tonsillectomy using BiClamp forceps and electrocautery tonsillectomy. Otolaryngol Head Neck Surg., 2, 2008, s. 228-234.
4. Lepner, U., Vaasna, T.: LigaSure vessel sealing system versus conventional vessel ligation in thyroidectomy. Scand. Surg., 1, 2007, s. 31-34.
5. Richter, S., Kollmar, O., Neunhoeffer, E. et al.: Differential response of arteries and veins to bipolar vessel sealing: evaluation of a novel reusable device. J. Laparoendosc. Adv. Surg. Tech. A., 2, s. 149-155.
6. Saint Marc, O., Cogliandolo, A., Piquard, A. et al.: LigaSure vs clamp-and-tie technique to achieve hemostasis in total thyroidectomy for benign multinodular goiter: a prospective randomized study. Arch. Surg., 2, 2007, s. 150-156.
7. Silva-Filho, A., Rodrigues, A., de Astro Monteiro, M. et al.: Randomized study of bipolar vesel sealing systém versus conventional suture ligature for vaginal hysterectomy. Eur J. Obstet. Gynecol. Repris. Biol., 2, 2009, s. 200-203.
Štítky
Audiology Paediatric ENT ENT (Otorhinolaryngology)Článok vyšiel v časopise
Otorhinolaryngology and Phoniatrics
2010 Číslo 1
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