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

Abstract

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

Methodology: This study is conducted as a retrospective observational study at Akbar Niazi Teaching Hospital, Islamabad. Eighty-six patients underwent thyroidectomy using LSW between April 2021 till April 2024 were studied. Liga Sure is an advanced bipolar vessel-sealing device that uses a combination of controlled pressure and radiofrequency energy to permanently seal blood vessels up to 7 mm in diameter, providing effective hemostasis with minimal thermal spread. Parameters including per operative 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 improved after giving stat dose of steroid. The use of Liga Sure demonstrated effective hemostasis, acceptable operative time, short hospital stays, and a low complication rate in patients undergoing total thyroidectomy.

Conclusion: The results demonstrated that LSW 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 LSW.