OUTCOMES OF WOUND STATUS IN ELECTRODISSECTION VERSUS SCALPEL/SCISSORS DISSECTION IN FLAP ELEVATION IN HEMITHYROIDECTOMY

Authors

  • Anita GC B and C Medical College and Teaching Hospital, Birtamode, Jhapa, Nepal
  • Bimal K Sinha Ganesh Man Singh Memorial Academy of ENT and Head & Neck Studies TU Teaching Hospital Kathmandu, Nepal
  • Dharma K Baskota Ganesh Man Singh Memorial Academy of ENT and Head & Neck Studies TU Teaching Hospital Kathmandu, Nepal

Abstract

Objective: The objective of this study was to compare the effects of electrodissection and scalpel or scissors dissection (cold dissection) during the flap elevation on wound status in hemithyroidectomy.

Materials and methods: Forty patients undergoing hemithyroidectomy for various pathologies were selected from outpatient department and were randomly assigned to either electrodissection(group A) or scissors/scalpel(cold) dissection (group B) for subplatysmal flap elevation during hemithyroidectomy. Wound was assessed from first postoperative day (1st POD) to sixth postoperative (6th POD) for wound inflammation and flap edema.

Results: 40 patients that were included in the study with 20 patients in each group. There was no case of infection in either group. There were two cases of flap edema in group A (electrodissection)

Conclusion: Electrodissection is as convenient as scalpel/scissors (cold dissection) for subplatysmal flap elevation during hemithyroidectomy and not associated with increased rate of wound infection, flap oedema or post operative pain.

Keywords: Cold dissection, electrodissection, Flap elevation, Hemithyroidectomy, Scalpel/scissors dissection

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Published

2017-01-02

How to Cite

1.
GC A, Sinha BK, Baskota DK. OUTCOMES OF WOUND STATUS IN ELECTRODISSECTION VERSUS SCALPEL/SCISSORS DISSECTION IN FLAP ELEVATION IN HEMITHYROIDECTOMY. Nepalese J ENT Head Neck Surg [Internet]. 2017 Jan. 2 [cited 2025 Feb. 6];7(2):2-5. Available from: https://njehns.org.np/index.php/njehns/article/view/167

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