Experience of Using Bipolar Thermofusion of Tissue BiClamp^® 150 in Surgery on Thyroid Gland – a Cohort of 1047 Interventions

Česká verzia

Authors: M. Formánek ¹; T. Pniak ¹; P. Matoušek ^1,2 ; Karol Zeleník ^1,2 ; Pavel Komínek ^1,2
Authors place of work: Otorinolaryngologická klinika FN Ostrava, přednosta doc. MUDr. P. Komínek, Ph. D., MBA ¹; Katedra kraniofaciálních oborů, Lékařská fakulta, Ostravská univerzita v Ostravě, vedoucí katedry doc. MUDr. P. Komínek, Ph. D., MBA ²
Published in the journal: Otorinolaryngol Foniatr, 63, 2014, No. 3, pp. 170-175.
Category: Original Article

Summary

Objective:
The aim of our study is to evaluate effects of BiClamp^® bipolar thermofusion of tissues on results of operations of thyroid glands in comparison with a ligature of vessels.

Subjects and Methods:
1047 operations of thyroid glands were performed from 2006 to 2012 at the ENT department University Hospital in Ostrava. The patients were divided into two groups – Group I (ligature of polar vessels and bipolar coagulation of smaller vessels) and Group II (usage of BiClamp^® bipolar thermofusion of tissues for coagulation of polar vessels and usage of bipolar coagulation for coagulation of smaller vessels). Statistical analysis of complications (revisions of surgical wounds due to postoperative bleeding, postoperative paresis of a recurrent laryngeal nerve) and durations of operations considering method of hemostasis was performed.

Results:
333 operations of thyroid glands were performed in Group I and 714 operations were performed in Group II. Frequency of revisions of surgical wounds due to postoperative bleeding was 14/333 (4.2 %) in Group I and 15/714 (2.1 %) in Group II (p = 0.026). Postoperative paresis of a recurrent laryngeal nerve was observed in 12/600 (2 %) of prepared nerves in Group I and in 20/1328 (1.51 %) in Group II (p = 0.424). Average duration of all operations of thyroid glands was lowered when BiClamp^® was used by 23.7 % on average (p < 0.001).

Conclusion:
BiClamp^® 150 bipolar thermofusion of tissues (ERBE) is an effective method of hemostasis, which lowers number of revisions of surgical wounds due to postoperative bleeding and durations of operations of thyroid gland in comparison with ligature of vessels by a statistically significant degree. At the same time, the extent of injury to other tissues during the operations remains the same..

Keywords:
operations of thyroid gland, thyroidectomy, bleeding, BiClamp^®, thermofusion of tissue

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