Clinical evaluation of CoolSeal - a new, safe, and fast vessel sealing device in total thyroidectomy

Clinical evaluation of CoolSeal - a new, safe, and fast vessel sealing device in total thyroidectomy

CoolSeal is a new vessel sealing system for dissection and hemostasis during surgery. No clinical studies have investigated safety, advantages or disadvantages regarding the use of this device. The aim of the present study was to investigate the safety of CoolSeal and compare it with conventional li...

Full description

Saved in:
Bibliographic Details
Published in:Endocrine regulations (Bratislava) Vol. 58; no. 1; pp. 181 - 186
Main Authors: Hansen, Mette Vold, Reinke, Rasmus, Londero, Stefano Christian, Rolighed, Lars
Format: Journal Article
Language:English
Published: Germany Sciendo 01-01-2024
Subjects:
Adult
Aged
Blood Loss, Surgical - prevention & control
CoolSeal
Female
Hemostasis, Surgical - instrumentation
Hemostasis, Surgical - methods
Humans
LigaSure
Ligation - instrumentation
Ligation - methods
ligation technique
Male
Middle Aged
Operative Time
Retrospective Studies
Thyroidectomy - adverse effects
Thyroidectomy - instrumentation
Thyroidectomy - methods
total thyroidectomy
Treatment Outcome
vessel sealing system
ligation technique
CoolSeal
total thyroidectomy
LigaSure
vessel sealing system
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:CoolSeal is a new vessel sealing system for dissection and hemostasis during surgery. No clinical studies have investigated safety, advantages or disadvantages regarding the use of this device. The aim of the present study was to investigate the safety of CoolSeal and compare it with conventional ligation technique or LigaSure during the total thyroidectomy. We hypothesized that the use of CoolSeal would reduce the operating time and bleeding without complications increase. Study design represents a retrospective cohort study with a tertiary reference center setting. We analyzed total thyroidectomy data from January 2021 to June 2023. We recorded patients’ characteristics, surgical information, and postoperative outcome. We performed 221 total thyroidectomies in the study period. Analysis was restricted to 171 patients operated by only two surgeons. Hemostasis was secured by conventional ligation in 117 patients (68%), LigaSure in 34 patients (20%) and CoolSeal in 20 patients (12%). Median thyroid weight and bleeding were 67 g and 50 ml, respectively. Procedures using LigaSure or Cool-Seal were on larger glands (median 205 g) without increased bleeding (50 ml). Operating time was shortest with CoolSeal (96 min, p=0.003) compared with LigaSure (117 min) or conventional ligation (115 min). Bleeding was reduced with CoolSeal compared with LigaSure (45 vs. 100 ml, p=0.003). With CoolSeal, median hospitalization was one postoperative day, no patients required re-operation. There was no palsy of recurrent laryngeal nerves and no permanent hypoparathyroidism. In our first clinical experience, CoolSeal was safe and efficient for total thyroidectomy. With a small sample size, we saw a clinical benefit with reduced operating time without post-operative complications increase.
Bibliography:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 23
ISSN:1336-0329
1336-0329
DOI:10.2478/enr-2024-0021