OUTCOMES OF WOUND STATUS IN ELECTRODISSECTION VERSUS SCALPEL/SCISSORS DISSECTION IN FLAP ELEVATION IN HEMITHYROIDECTOMY
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 dissectionDownloads
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Copyright (c) 2017 Nepalese Journal of ENT Head & Neck Surgery

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