Comparison of Use of Ligasure and Bipolar Diathermy Vs. Conventional Technique for Thyroidectomy

Authors

  • Sajjad Ahmad Ansari Department of General Surgery, Combined Military Hospital Bahawalpur/National University of Medical Sciences (NUMS) Pakistan
  • Maria Bint Zafar Department of General Surgery, Combined Military Hospital Bahawalpur/National University of Medical Sciences (NUMS) Pakistan
  • Muhammad Saeed Akhtar Department of General Surgery, Combined Military Hospital Bahawalpur/National University of Medical Sciences (NUMS) Pakistan
  • Wasif Idris Ahmed Department of General Surgery, Combined Military Hospital Bahawalpur/National University of Medical Sciences (NUMS) Pakistan
  • Shahum Khan Department of General Surgery, Combined Military Hospital Bahawalpur/National University of Medical Sciences (NUMS) Pakistan
  • Muhammad Ahsan Mustafa Department of General Surgery, Combined Military Hospital Bahawalpur/National University of Medical Sciences (NUMS) Pakistan

DOI:

https://doi.org/10.51253/pafmj.v76i4.12813

Keywords:

Bipolar, Conventional Techniques, Diathermy, Ligasure, Thyroidectomy

Abstract

Objective: To compare the outcome of ligasure and bipolar diathermy versus conventional techniques among patients undergoing thyroidectomies.

Study Design: Quasi-experimental study.

Place and Duration of Study: Department of General Surgery, Combined Military Hospital, Bahawalpur Pakistan, from Mar to Oct 2024.

Methodology: Eighty patients undergoing thyroidectomy were equally divided into two Groups. Group-A patients underwent thyroidectomy using ligasure and bipolar diathermy, while Group-B was treated by conventional technique by the same surgeon. Duration of surgery, duration of hospitalization, and complication rate were noted in the proforma. All the data was entered on the proforma by the researcher.

Results: Out of eighty patients 27.5% (n=22) were male and 72.5% (n=58) were female. Of these, 68.8% (n=55) belonged to rural areas and 31.2% (n=25) were from urban areas. Twenty-eight (35.0%) had poor social backgrounds while 65.0% (n=52) were from middle-income families. Diabetics were 22.5% (n=18), hypertensive were 30.0% (n=24) and obese were 15.0% (n=12). Among Group-A and Group-B; complication rate, Mean duration of surgery, and duration of hospital stay were 7.5% (n=03), 91.93±8.43 minutes, 1.35±0.48 days, and, 37.5% (n=15), 122.00±6.86 minutes, 2.10±0.59, respectively, showing significant values of p<0.001.

Conclusion; The ligasure and bipolar diathermy method are safe, effective, and reliable with decreased post-operative complication rate, mean duration of surgery, and hospital stay as compared with the conventional technique employed for thyroidectomy.

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References

1. Aydin I, Sengul I, Sengul D. Sutureless total thyroidectomy for substernal goiter: amending versus unnecessary. Cureus 2021; 13(1): e12720. https://doi.org/10.7759/cureus.12720

2. Hanson MA, Shaha AR, Wu JX. Surgical approach to the substernal goiter. Best Pract Res Clin Endocrinol Metabol 2016; 33(4): 101312. https://doi.org/10.1016/j.beem.2019.101312

3. Pacilli M, Tartaglia N, Gerundo A, Pavone G, Fersini A, Ambrosi A. Energy based vessel sealing devices in thyroid surgery: a systematic review to clarify the relationship with recurrent laryngeal nerve injuries. Medicina 2020; 56(12): 651.

https://doi.org/10.3390/medicina56120651

4. Lee E, Tong JY, Pasick LJ, Benito DA, Joshi A, Thakkar PG, et al. Complications associated with energy-based devices during thyroidectomy from 2010–2020. World J Otorhinolaryngol Head Neck Surg 2023; 9(01): 35-44.

https://doi.org/10.1016/j.wjorl.2021.04.008

5. Wang JJ, Huang TY, Wu CW, Lin YC, Tseng HY, Liu CH, et al. Improving voice outcomes after thyroid surgery–review of safety parameters for using energy-based devices near the recurrent laryngeal nerve. Front Endocrinol 2021; 12: 793431.

https://doi.org/10.3389/fendo.2021.793431

6. Spartalis E, Giannakodimos A, Giannakodimos I, Ziogou A, Papasilekas T, Patelis N, et al. The role of LigaSure™ and Harmonic Scalpel in the preservation of recurrent laryngeal nerve during thyroidectomy. Ann Royal Coll Surg Eng 2022; 104(5): 324-329. https://doi.org/10.1308/rcsann.2021.0125

7. Hirunwiwatkul P, Tungkavivachagul S. A multicenter, randomized, controlled clinical trial of LigaSure small jaw vessel sealing system versus conventional technique in thyroidectomy. Eur Arch Oto-Rhino-Laryngol 2013; 270: 2109-2114.

https://doi.org/10.1007/s00405-012-2289-8

8. Mao XC, Chen C, Wang KJ. Efficacy and safety of LigaSure™ small jaw instrument in thyroidectomy: a 1-year prospective observational study. Eur Arch Oto-Rhino-Laryngol 2018; 275: 1257-1263. https://doi.org/10.1007/s00405-018-4912-9

9. Grøndal AY, Høgsbro M, Pryds K, Pedersen HB, Jacobsen H. Intra-and postoperative complications using ligasure™ small jaw in patients undergoing thyroidectomy: A register-based study. Eur Arch Oto-Rhino-Laryngol 2021: 6685.

https://doi.org/10.1007/s00405-021-06685-w

10. Habash M, Sultan A, Ghareeb O. Surgical outcomes of ligasure bipolar device versus conventional technique in total thyroidectomy. J Natural Sci Biol Med 2022; 13(2): 119-123.

https://jnsbm.org/article-view/?id=146

11. Youssef T, Mahdy T, Farid M, Latif AA. Thyroid surgery: use of the LigaSure Vessel Sealing System versus conventional knot tying. Int J Surg 2008; 6(4): 323-327.

https://doi.org/10.1016/j.ijsu.2008.05.005

12. Demiral G, Aksoy F. Comparison of LigaSure and the Conventional Method in Total Thyroidectomy: A Single Surgeon s Experience and Review of the Literature that LigaSure is not superior to Suture Ligation in Total Thyroidectomy. Ulutas Med J 2019; 5(1): 77-83. https://doi.org/10.5455/umj.20191022104415

13. Dias SJ, Gobishangar S, Priyatharsan K, Praramanathan S. Outcome Analysis of Total Thyroidectomy: Conventional Suture Ligation Technique vs Sutureless Technique. Cureus 2023; 15(10): 48005. https://doi.org/10.7759/cureus.48005

14. Hegab AM. Comparative study between bipolar electro-cautery and knot-tying technique in total thyroidectomy. Al-Azhar Int Med J 2021; 2(10): 7-11.

https://doi.org/10.21608/aimj.2021.91331.1553

15. Prakash O, Chandrashekar S, Mattews J, George R, Suprej K, Mattew J, et al. Bipolar cautery versus conventional suture ligation of vascular pedicles in thyroidectomy: a comparative clinical study. Int Surg J 2021; 8(4): 1181-1184.

http://doi.org/10.18203/2349-2902.isj20211294

16. Su L, Li J, Tang X, Sang J. Therapeutic effects of bipolar coagulation forceps on open thyroid surgery. Revista de Invest Clín 2017; 68(5): 256-261.

17. Hameed AR, Ammar AS, Saleem M, Naeem H, Hameed U, Khattak SB, et al. Comparison of outcome of conventional suture ligation versus ligasure vessel sealing in patients undergoing total thyroidectomy for multinodular goiter. Profes Med J 2023; 30(10): 1219-1224.

https://doi.org/10.29309/TPMJ/2023.30.10.7625

18. Chavez KV, Barajas EM, Ramírez J, Pantoja JP, Sierra M, Velázquez-Fernandez D, et al. Comparative analysis between a bipolar vessel sealing and cutting device and the tie and suture technique in thyroidectomy: A randomized clinical trial. Surgery 2017; 161(2): 477-484. https://doi.org/10.1016/j.surg.2016.07.036

19. Vasuki R, Thanmaran NB, Malathi V, Kujur L. A study of use of bipolar cautery in thyroidectomy. Int Surg J 2017; 4(3): 1059-1064. http://dx.doi.org/10.18203/2349-2902.isj20170862

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Published

31-08-2026

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How to Cite

1.
Sajjad Ahmad Ansari, Maria Bint Zafar, Muhammad Saeed Akhtar, Wasif Idris Ahmed, Khan S, Muhammad Ahsan Mustafa. Comparison of Use of Ligasure and Bipolar Diathermy Vs. Conventional Technique for Thyroidectomy. Pak Armed Forces Med J [Internet]. 2026 Aug. 31 [cited 2026 Sep. 1];76(4):574-8. Available from: https://www.pafmj.org/PAFMJ/article/view/12813