Thyroid Surgery With the New Harmonic Scalpel or the Electrothermal Bipolar Vessel Sealer

This study has been completed.
Sponsor:
Information provided by:
Hippocration General Hospital
ClinicalTrials.gov Identifier:
NCT00892164
First received: April 30, 2009
Last updated: May 1, 2009
Last verified: May 2009

April 30, 2009
May 1, 2009
August 2008
December 2008   (final data collection date for primary outcome measure)
  • Hemostasis [ Time Frame: intraoperatively (from skin incision to skin closure) & postoperatively (from skin closure until 1 week postoperatively) ] [ Designated as safety issue: Yes ]
  • Postoperative complications including laryngeal nerve palsy, hypocalcemia, hemorrhage, hematoma, wound infection and skin burn [ Time Frame: postoperatively (from the day of surgery until 3-6 months postoperatively) ] [ Designated as safety issue: Yes ]
  • Operative time [ Time Frame: from skin incision to skin closure ] [ Designated as safety issue: No ]
Same as current
Complete list of historical versions of study NCT00892164 on ClinicalTrials.gov Archive Site
Length of hospital stay [ Time Frame: postoperatively (from the day of surgery until discharge) ] [ Designated as safety issue: No ]
Same as current
Not Provided
Not Provided
 
Thyroid Surgery With the New Harmonic Scalpel or the Electrothermal Bipolar Vessel Sealer
Thyroid Surgery With the New Harmonic Scalpel or the Electrothermal Bipolar Vessel Sealer: a Prospective Randomized Study

The objective of this study is to compare the results of total thyroidectomy using the new harmonic scalpel device to that with the electrothermal bipolar vessel sealer.

The harmonic scalpel and the electrothermal bipolar vessel sealing system (LIGASURE PRECISE) have been both shown to be safe and effective in thyroid surgery. The moderate dissection capabilities of the previous harmonic scalpel instruments available for thyroid surgery have led to an innovative technical improvement of the device (FOCUS) that has very recently been implemented and has been made available in 2008. Comparison of the utilization of this new device, however, with the electrothermal bipolar vessel sealer has not been performed in any study. The objective of this study is to compare the results of total thyroidectomy using the FOCUS to that with the LIGASURE device in respect to hemostasis, operative time and perioperative complications. All patients undergoing a total thyroidectomy in our endocrine surgery department are randomized into those operated with FOCUS (Group A) and those with LIGASURE (Group B).

Interventional
Not Provided
Allocation: Randomized
Endpoint Classification: Safety/Efficacy Study
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Treatment
Thyroidectomy
  • Device: harmonic scalpel device (FOCUS)
    hemostatic device utilized intraoperatively
  • Device: electrothermal bipolar vessel sealing system (LIGASURE PRECISE)
    hemostatic device utilized intraoperatively
  • Active Comparator: FOCUS (Group A)
    Patients submitted to total thyroidectomy with the use of the FOCUS harmonic scalpel device
    Intervention: Device: harmonic scalpel device (FOCUS)
  • Active Comparator: LIGASURE (Group Β)
    Patients submitted to total thyroidectomy with the use of the electrothermal bipolar vessel sealing device
    Intervention: Device: electrothermal bipolar vessel sealing system (LIGASURE PRECISE)
Not Provided

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Completed
120
April 2009
December 2008   (final data collection date for primary outcome measure)

Inclusion Criteria:

  • total thyroidectomy

Exclusion Criteria:

  • hemithyroidectomy or subtotal thyroidectomy
  • additional surgical procedures together with the total thyroidectomy (i.e., parathyroidectomy or cervical lymph node dissection)
Both
Not Provided
No
Contact information is only displayed when the study is recruiting subjects
Greece
 
NCT00892164
642
Yes
Department of Endocrine Surgery, 1st Department of Propaedeutic Surgery, Hippocration General Hospital of Athens, Department of Endocrine Surgery, 1st Department of Propaedeutic Surgery, Hippocration General Hospital of Athens, Athens Medical School, University of Athens
Hippocration General Hospital
Not Provided
Principal Investigator: Andreas Manouras, MD, PhD Department of Endocrine Surgery, 1st Department of Propaedeutic Surgery, Hippocration General Hospital of Athens, Athens Medical School, University of Athens, Athens, Greece
Hippocration General Hospital
May 2009

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP