![]() ![]() Each follicle is lined by cuboidal epithelial cells and contains a central store of colloid secreted from the epithelial cells under the influence of the pituitary hormone TSH. The follicles are spherical and average 30 m in diameter. There are about 3x106 follicles in the adult male thyroid gland. Microscopically, the thyroid is divided into lobules thatĬontain 20 to 40 follicles. The thyroid capsule is condensed into the posterior suspensory or Berry’s ligament near the cricoid cartilage and upper tracheal rings. The true capsule of the thyroid is a thin, densely adherent fibrous layer that sends out septa that invaginate into the gland, forming pseudolobules. The thyroid gland is enveloped by a loosely connecting fascia that is formed from the partition of the deep cervical fascia into anterior and posterior divisions. The strap muscles (Sternohyoid, sternothyroid and superior belly of the omohyoid) are located anteriorly and are innervated by the ansa cervicalis (Ansa hypoglossi). The thyroid lobes extend to the midthyroid cartilage superiorly and lie adjacent to the carotid sheaths and sternocleidomastoid muscles laterally. A pyramidal lobe is present in about 50% of patients. The thyroid lobes are located adjacent to the thyroid cartilage and connected in the midline by an isthmus that is located just inferior to the cricoid cartilage. ![]() The normal thyroid gland weighs approximately 20 g, but gland weight varies with body weight and iodine intake. The adult thyroid gland is brown in colour and firm in consistency and is located posterior to the strap muscles. The thyroid gland is one of the most vascular organs in the body. Sutureless Thyroidectomy, Bipolar Diathermy. Sutureless thyroidectomy is a very good surgical practice with bipolar surgical diathermy and it permits low postoperative complications and cost effectiveness. Out of 116 patients who underwent sutureless thyroidectomy none of them had any primary, secondary or reactionary haemorrhage, one patient who underwent total thyroidectomy for follicular carcinoma had transient hypocalcaemia. Patients were reviewed for any complications following thyroidectomy like haemorrhage, hypocalcaemia and recurrent laryngeal nerve palsy. Proper preoperative workup was done and sutureless thyroidectomy surgeries were done using bipolar surgical diathermy. In this study, we have used bipolar surgical diathermy.ġ16 patients with thyroid swelling attending surgical OPD in Vydehi Institute of Medical Sciences and Research Centre during the period of 2011-2015 were included in the study. The rate of complications of thyroid surgeries were very high earlier but with the advent of ligasure, harmonic scalpel and bipolar surgical diathermy complications have reduced. The harmonic scalpel significantly shortens the duration of thyroidectomies it can be used safely and effectively in thyroid surgery with no additional morbidity.E-mail: thyroid gland is one of the most vascular organs in the body and surgical resection mandates meticulous surgical technique and haemostasis. No patient in either group had permanent recurrent laryngeal nerve palsy or hypoparathyroidism. ![]() Significant differences were observed between these 2 surgical techniques in terms of operative time, number of ligatures used, amount of bleeding, average length of incision, total amount of drainage fluid, and cosmetic satisfaction (P.05). The patients in group 1 (n=40) underwent thyroidectomy performed with conventional knot tying and the electrocautery technique in patients in group 2 (n=40), the harmonic scalpel was used for the procedure. Eighty patients were randomly assigned to 2 groups. This study was undertaken to investigate whether the use of the harmonic scalpel during thyroid surgery has any advantage over the conventional technique. Kilic, Mehmet Keskek, Mehmet Ertan, Tamer Yoldas, Omer Bilgin, Aydin Koc, MahmutĬurrently, thyroidectomies are performed with very little morbidity. ![]() #PARATHYROID SURGERY KNOT TYING TRIAL#A prospective randomized trial comparing the harmonic scalpel with conventional knot tying in thyroidectomy A prospective randomized trial comparing the harmonic scalpel with conventional knot tying in. ![]()
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