Thyroidectomy Hemostasis

Russell B Smith; Andrew Coughlin

doi:10.1016/j.otc.2016.03.006

Thyroidectomy Hemostasis

Otolaryngol Clin North Am. 2016 Jun;49(3):727-48. doi: 10.1016/j.otc.2016.03.006.

Authors

Russell B Smith¹, Andrew Coughlin²

Affiliations

¹ Department of Otolaryngology - Head and Neck Surgery, 981225 Nebraska Medical Center, Omaha, NE 68198-1225, USA; Nebraska Methodist Hospital, Estabrook Cancer Center, 8303 Dodge Street, Omaha, NE, USA.
² Department of Otolaryngology - Head and Neck Surgery, 981225 Nebraska Medical Center, Omaha, NE 68198-1225, USA; Nebraska Methodist Hospital, Estabrook Cancer Center, 8303 Dodge Street, Omaha, NE, USA. Electronic address: acoughlin82@gmail.com.

PMID: 27267022
DOI: 10.1016/j.otc.2016.03.006

Abstract

Total thyroidectomy has significantly changed over the years from a morbid procedure to one that is performed routinely on an outpatient basis. This article reviews the history of thyroid surgery with regard to hemostasis, discusses surgical vascular anatomy, and describes the methods of hemostasis. It compares traditional hemostatic surgical techniques with newer techniques such as the Harmonic Scalpel and LigaSure hand pieces. The use of adjunctive hemostatic agents and indications for a drain in thyroid are discussed.

Keywords: Harmonic Scalpel; Hemorrhage; Hemostasis; LigaSure; Thyroidectomy.

Publication types

Review

MeSH terms

Blood Loss, Surgical / prevention & control*
Comparative Effectiveness Research
Drainage / methods
Hematoma / etiology
Hematoma / surgery
Hemostasis, Surgical* / instrumentation
Hemostasis, Surgical* / methods
Hemostatic Techniques*
Humans
Postoperative Hemorrhage / etiology
Postoperative Hemorrhage / prevention & control
Thyroid Diseases / surgery*
Thyroid Gland* / blood supply
Thyroid Gland* / surgery
Thyroidectomy* / adverse effects
Thyroidectomy* / methods