Our Summary

This study was conducted to see if using a harmonic scalpel is more efficient and safer than using traditional methods in total thyroidectomy surgeries (surgery to remove all of the thyroid gland). The researchers looked at multiple past studies and compared the two techniques. They found that using a harmonic scalpel made the surgery faster and caused less bleeding during the operation. They also found no increase in risks like temporary or permanent low calcium levels, temporary or permanent issues with a certain nerve in the throat, and blood clot formation. So, this research suggests that using a harmonic scalpel for total thyroidectomy surgeries is a good option, as it is both safe and efficient.

FAQs

  1. What was the purpose of this study on total thyroidectomy surgeries?
  2. How does using a harmonic scalpel in thyroidectomy surgeries compare to traditional methods according to the research?
  3. Did the use of a harmonic scalpel in thyroidectomy surgeries increase any risks such as low calcium levels, nerve issues, or blood clot formation?

Doctor’s Tip

A helpful tip a doctor might tell a patient about thyroidectomy is to discuss with your surgeon the option of using a harmonic scalpel for the surgery. This tool has been shown to make the procedure faster and reduce bleeding, leading to a potentially smoother recovery process. It’s important to have an open conversation with your healthcare provider to determine the best approach for your specific situation.

Suitable For

Patients who are recommended for thyroidectomy include those with thyroid cancer, large goiters causing symptoms such as difficulty breathing or swallowing, hyperthyroidism that does not respond to medications, thyroid nodules that are suspicious for cancer, or Graves’ disease.

Timeline

Before thyroidectomy:

  1. Patient undergoes a series of tests and evaluations to determine the need for surgery, such as blood tests, imaging scans, and thyroid function tests.
  2. Patient meets with the surgeon to discuss the procedure, risks, and benefits, and to address any concerns or questions.
  3. Patient may need to stop taking certain medications, such as blood thinners, in the days leading up to surgery.
  4. Patient is instructed on pre-operative care, such as fasting before surgery and showering with a special soap the night before.
  5. Patient undergoes anesthesia and the surgeon performs the thyroidectomy, either using a harmonic scalpel or traditional methods.

After thyroidectomy:

  1. Patient wakes up in the recovery room and is monitored for any immediate post-operative complications.
  2. Patient may experience some pain, swelling, and discomfort in the neck area.
  3. Patient is given instructions on post-operative care, such as wound care, pain management, and activity restrictions.
  4. Patient may need to stay in the hospital for a day or two for observation, especially if there are any complications.
  5. Patient is scheduled for follow-up appointments with the surgeon to monitor healing and thyroid hormone levels.
  6. Over time, the patient’s body adjusts to the absence of the thyroid gland, and they may need to take thyroid hormone replacement medication for the rest of their life.
  7. Patient may experience changes in their voice, swallowing, and metabolism after the surgery, which may require further treatment or adjustments to medication.

What to Ask Your Doctor

  1. What is a thyroidectomy and why do I need one?
  2. What are the potential risks and complications of a thyroidectomy?
  3. How will the surgery be performed and what is the recovery process like?
  4. What are the differences between using a harmonic scalpel and traditional methods for thyroidectomy?
  5. Are there any specific benefits or drawbacks to using a harmonic scalpel for my thyroidectomy?
  6. How experienced are you in using a harmonic scalpel for thyroidectomy surgeries?
  7. How long will the surgery take with a harmonic scalpel compared to traditional methods?
  8. What is the likelihood of needing additional treatment or surgery after a thyroidectomy with a harmonic scalpel?
  9. How will my post-operative care differ if a harmonic scalpel is used for the surgery?
  10. Are there any other alternatives to a thyroidectomy that I should consider?

Reference

Authors: Aires FT, Matos LL, Dedivitis RA, Cernea CR. Journal: Rev Assoc Med Bras (1992). 2018 Jul;64(7):649-657. doi: 10.1590/1806-9282.64.07.649. PMID: 30365668