Efficacy of Ligasure use in Total Thyroidectomy at a tertiary care Hospital

Abstract

Abstract

Objective

To evaluate the effectiveness of the ligasure small jaw (LSW) device in achieving hemostasis during total thyroidectomy.

Materials and Methods                 

This study is conducted as a retrospective observational study at Akbar Niazi Teaching Hospital.86 Patients underwent thyroidectomy using LSJ between April 2021 till April 2024 were studied. Parameters including peroperative findings of intraoperative bleeding and operative time and postoperative findings of voice change and hospital stay were assessed. After approval from the ethical board, data was collected as a qualitative research study and entered on standard SPSS sheet version 26.

Results

A total of 86 patients were observed during the study period. Per operative findings of intraoperative bleeding measured by the visual gauze method showed 6ml gauze blood in 39.5% and more than 6ml gauze blood in 26.8% and rest of the patients were having 3ml-6ml gauze blood. The mean surgery time noted was 92.07±6.34 minutes.64% of the patients had hospital stay of 1-2 days. Only 1 patient had voice hoarseness which was relieved spontaneously after giving stat dose of steroid.

Conclusion

The results demonstrated that LSJ effectively minimized intraoperative bleeding, reduced operative time, and preserved recurrent laryngeal nerve function, with minimal complications. Comparative analysis with traditional ligation techniques, diathermy or bipolar devices confirmed the efficiency and safety of LSJ.