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Hemostatic Devices

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Minimally Invasive Therapies for Endocrine Neck Diseases

Abstract

Control of bleeding is particularly important for thyroid surgery. Many methods designed to maintain surgical hemostasis are presently used in thyroid surgery.

The harmonic scalpel® (HS) coagulates and simultaneously cuts tissue using mechanical energy with ultrasonic frequency.

LigaSure® is a bipolar, electrosurgical device and it seals vessels by denaturing collagen and elastin within the vessel walls and the surrounding connective tissue.

BiClamp® works on the principle of bipolar thermofusion of tissue.

Many published, comparative and observational, studies have variably reported some significant advantages in terms of operative time and complications rate with the use of these devices respect to the conventional techniques, as clamp-and-tie (CT) in thyroid surgery.

Despite the apparent high costs, employing these devices produces significant benefits for surgical practice.

The significant shorter operative time, a reduction of hospital stay and of complications rate, as reported in different studies, could result in a better utilization of health resources.

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Authors and Affiliations

  1. Unità Operativa Di Chirurgia Endocrina E Metabolica, Università Cattolica Del Sacro Cuore, Roma, Largo Agostino Gemelli, 8, Rome, RM, 00168, Italy

    Serafino Vanella, Anna Crocco, Emanuela Traini, Celestino Pio Lombardi & Marco Raffaelli

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  1. Serafino Vanella
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  2. Anna Crocco
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  3. Emanuela Traini
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  4. Celestino Pio Lombardi
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  5. Marco Raffaelli
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Correspondence to Serafino Vanella .

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Editors and Affiliations

  1. Chief of Endocrine Surgery Unit, Policlinico Gemelli – CIC, Università Cattolica del Sacro Cuore, Rome, Milano, Italy

    Celestino Pio Lombardi

  2. Chief of Istituto Semeiotica Chirurgica, Chief of Endocrine and Metabolic Surgery Unit, Policlinico Gemelli, Università Cattolica del Sacro Cuore, Rome, Italy

    Rocco Bellantone

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Vanella, S., Crocco, A., Traini, E., Lombardi, C.P., Raffaelli, M. (2016). Hemostatic Devices. In: Lombardi, C., Bellantone, R. (eds) Minimally Invasive Therapies for Endocrine Neck Diseases. Springer, Cham. https://doi.org/10.1007/978-3-319-20065-1_19

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  • DOI: https://doi.org/10.1007/978-3-319-20065-1_19

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