Safety and Feasibility of Sutureless Total Thyroidectomy

Background: The thyroid gland is one of the highly vascular tissues in the body. Total thyroidectomy (TT) is the gold standard for the surgical treatment of many thyroid disorders. There is no change occurred in the technique of total thyroidectomy, but using Harmonic Scalpel, or cutting and hemostasis are new approaches to vessel ligation and division. Sutureless thyroidectomy becomes a competitor for the conventional technique. Aim and objectives: to compare the use of the sutureless technique by *brand hidden* versus Conventional Suture Ligation in thyroid surgery in terms of operative time, drainage volume, complications, and duration of hospital stay.

Subjects and methods: 

This was a Prospective comparative study, on 60 patients divided into 2 groups: (Group 1); patients had sutureless thyroidectomy (S group), (Group 2); patients had conventional thyroidectomy (C group).

Result: There was an insignificant difference between both groups as regards surgical complications.

Conclusion: Sutureless thyroidectomy is a safe and efficient way of performing total thyroidectomy. LigaSure was significantly advantageous over conventional techniques in reducing operation time as well as perioperative and postoperative blood loss and parathyroid injury. The reduction of operative times resulted in decreased operating room occupancy costs but the overall cost of surgery was significantly higher in the LigaSure group.