Liječnički vjesnik, Vol. 135 No. 11-12, 2013.
Izvorni znanstveni članak
PARATHYROID HORMONE VALUES IN THYROID GLAND SURGERIES BY HARMONIC SCALPEL AND BY CONVENTIONAL METHODS
Stjepan Grabovac
Drago Prgomet
Saša Janjanin
Ana Đanić Hadžibegović
Sažetak
We have examined if there are any differences in intraoperative and early postoperative concentrations of parathyroid hormone between the first group of patients, who had thyroidectomy surgery performed by harmonic scalpel, and the second group of patients operated on by standard techniqes with the use of electrocoagulation and ligature as primary hemostatic procedures. All the patients having total thyroidectomy had their blood taken in four measurement points; immediately after the induction anesthesia, 10 minutes after the first thyroid gland lobe removal, 10 minutes after total thyroid gland removal and 24 hours after the surgery. The blood samples were used to determine concentrations of the parathyroid hormone by an immunoradiometric test. The concentration comparison of parathyroid hormone between the first and the second group has not shown statistically significant difference for any of the four measurement points. The concentration comparison of parathyroid hormone within the same groups in relation to preoperational values (the first measurement point) has shown that in both groups the parathyroid hormone concentration, in all three post-incision measurement points, has been significantly lower in relation to the concentration measured before the surgery (p<0.0005).
Ključne riječi
Thyroidectomy – methods, instrumentation, adverse effects; Parathyroid hormone – blood; Hemostasis, surgical – instrumentation; Electrocoagulation; Ultrasonic surgical procedures – instrumentation; Surgical instruments
Hrčak ID:
172516
URI
Datum izdavanja:
30.12.2013.
Posjeta: 879 *