Effect of fibrin vs cellulose based haemostatic agents withtraditional haemostatic procedures in thyroid surgery

Abstract

Objective: To compare the efficacy of fibrin-based hemostat and cellulose-based hemostat with traditional procedures in patients undergoing thyroid surgery.

Methods: Between January 2012 and December 2016, 255 patients were scheduled to undergo total thyroidectomy at Surgical Clinic Nis. The patients were randomized to: Group-I use of classic surgical procedures to achieve hemostasis, Group-II use Surgicel and Group-III use Beriplas.

Results: A statistically significant reduction of surgical time was found for Group-I compared with Group-II and III (p?0.01 for both groups). Statistically significant reduction of intraoperative blood loss was found for Group-I compared with Group-II from 102.3mL vs. 86.1mL (p?0.01) as well as compared to Group-III (mean 77.4mL, p?0.01). Removal of the wound drain occurred sooner in the Group-II and III compared with Group-I (mean 37.1h vs. 40.1h, p?0.05; mean 31.2h vs. 40.1h, p?0.01). There were no significant differences in terms of postoperative morbidity among the groups.

Conclusions: Fibrin based haemostat seems to be an effective hemostatic agent for patients undergoing thyroid surgery. We suggest that, where appropriate, this fibrin-based haemostat should be used as a first line hemostatic agent in thyroidectomy in combination with conventional surgical means of hemostasis.

doi: https://doi.org/10.12669/pjms.336.13692

How to cite this:Aleksandar K, Miodagl D, Nebojsa D, Ilija G. Effect of fibrin vs cellulose based haemostatic agents with traditional haemostatic procedures in thyroid surgery. Pak J Med Sci. 2017;33(6):1360-1365.