Dr. Ayesha Khalid, Dr. Fatima tuz Zahra, Dr. Fatima Zulfiqar
Background: Total thyroidectomy is a surgical procedure which is performed to treat various thyroid diseases wherein thyroid gland is removed2 completely. Total thyroidectomy provides advantages of eliminating the risk of recurrence and hence increasing the number of total thyroidectomies being performed for benign diseases. To compare the outcome of harmonic Scalpel versus Conventional haemotasis in patients undergoing total thyroidectomy. Study Design: Randomized controlled comparative study. Place and Duration of Study: This study was conducted at Benazir Bhutto Hospital Rawalpindi, from February 2020 to August 2020. Materials and Methods: Consecutive 94 patients undergoing thyroidectomy were taken and were divided into two groups. Group A were treated using harmonic scalpel and while there in group B were treated by conventional haemotasis by same surgeon to record outcomes. Both gender male and female patients were included and the age ranges of those patients were from 18-50 years. Patients having heart disease, CRF, CLD and with traumatic history and the patients with Hepatitis-B and Hepatitis-C and pregnant ladies were excluded from the study. Results: Of these 94 patients, 45(47.9%) were male patients while 49 (52.1%) were female patients. Mean age of patients was 37.26 + 5.50 years (with minimum age of study was 23 years while maximum age was 50 Years. Mean duration of surgery in group A was 41.94 + 5.82 minutes while in group B Mean duration was of surgery was 70.45 + 8.52 minutes (P = 0.000). Mean duration of hospital stay in group A was 2.74 + 0.675 days while in group B, it was 3.89 + 0.938 days (P = 0.000). Hypokalemia was noted in 29 (30.9 %) in group A hypokalemia was noted to be 12.8 % versus 48.9 % in group B. (P = 0.000). Conclusion: Harmonic Scalpel is safe and effective procedure for patients undergoing total thyroidectomy as compared to Conventional hemostasis. Harmonic scalpel is associated with shorter duration of surgery, shorter hospital stay and decreased chance of Hypocalcaemia. Key Words: Thyroidectomy, harmonic, scalpel, conventional hemostasis.