Comparison of effects of energy based devices on quality of life after sutureless thyroidectomy

Objective: In current literature, no studies evaluated effect of energy-based vessel-sealing-devices on quality of life after sutureless total thyroidectomies. This study aimed to identify any potential differences between two energy-based vessel-sealing-devices (Harmonic Focus, Ligasure LF1212) in patients with benign thyroid disorders who underwent sutureless total thyroidectomy. Materials and methods: Differences in quality of life of patients were evaluated using data obtained by Thy-PRO-39-Tr questionnaire prior to and four-week after surgery. Total and domain-based alterations in quality of life were compared between groups according to energy-based vessel-sealing-devices type (Group L, Group H). Additionally, data including demographics, height, weight, body mass index, neck circumference, sternomental distance were collected. Results: Of 1032 patients, 200 were eligible for study, at the end 193 were analysed. There were no differences between groups in terms of age, sex, body mass index, tobacco use. Analysis did not reveal any differences in overall quality of life between groups (P = .42). However, in "eye symptoms" (P < .001) and "cognitive functions" (P = .002) domains, Harmonic provided statistically improved quality of life. Effect on cognitive function was greater in patients of advanced age. Conclusions: Especially in elderly patients with worsening eye conditions and cognitive functions, use of Harmonic may enhance patients' outcome by increasing quality of life in addition to optimizing surgical outcome when compared to Ligasure

Omitting of bougie appears to be safe for the performance of the fundal wrap at laparoscopic Nissen fundoplication

Aim. Some operative techniques in fundoplication seem to increase the incidence of obstructive symptoms. Some authors believe that using intraesophageal bougie and preparing a short and floppy valve in laparoscopic Nissen fundoplication will help to decrease any possible tight crus repair and wrap and so it is effective to decrease the prevalence of postoperative dysphagia. The aim of this study is to show that there is no absolute benefit of routine insertion of a bougie during laparoscopic Nissen fundoplication in relation to post-operative dysphagia

Endoskopide yenlikçi girişimler

Hipokrat d&ouml;neminde hastayı ameliyat etmeden gastrointestinal kanalı g&ouml;r&uuml;nt&uuml;leme şeklinde başlayan endoskopi s&uuml;reci zaman i&ccedil;inde gelişmiştir. G&uuml;n&uuml;m&uuml;zde tanı koymanın yanı sıra tedavi edici y&ouml;ntemlerin de uygulandığı endoskopik sistemler mevcuttur. Teknolojide atılan adımlar ile tanısal &ouml;zellikleri, kısıtlı da olsa, biyopsiye gerek kalmadan sergileyebilecek d&uuml;zeye gelen FICE, NBI gibi sistemler mevcuttur. Teknolojideki ilerlemeler ile gelecekte bir&ccedil;ok a&ccedil;ık cerrahi y&ouml;ntemin yerini alabilecek duruma gelen endoskoplar umut vericidir

Is it necessary to perform prophylactic cholecystectomy for all symptomatic gallbladder polyps diagnosed with ultrasound?

Objective: The main aim of this study is to determine the necessity of cholecystectomy in patients with ultrasound diagnosed symptomatic polypoid lesions of the gallbladder