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Objective: Vascular sealing devices (VSD) can be safely used in thyroid surgery. The purpose of this survey was to investigate general surgeons'approach to the use of VSD in thyroid surgery in Turkey. Material and Methods: A questionnaire containing 10 items was prepared and announced via the Dialogue in Endocrinology Society website. The results were then analyzed. Results: Fifty surgeons (65.8%) stated that they always use VSD, 20 (26.3%) stated that they sometimes use these devices and six (7.9%) declared that they never use VSD. Thirty-six surgeons (47.4%) reported that they use ligation all the time, and 42 (55.3%) stated that upper pole vessels should be ligated at least once. Twenty two point four percent of the responders stated that they faced a complication, which they thought was related to VSD. Conclusion: The vast majority of surgeons routinely uses VSD and accepts it as a safe tool. However, the observed complication rate was very high. [ABSTRACT FROM AUTHOR]

Objective: Vascular sealing devices (VSD) can be safely used in thyroid surgery. The purpose of this survey was to investigate general surgeons'approach to the use of VSD in thyroid surgery in Turkey. Material and Methods: A questionnaire containing 10 items was prepared and announced via the Dialogue in Endocrinology Society website. The results were then analyzed. Results: Fifty surgeons (65.8%) stated that they always use VSD, 20 (26.3%) stated that they sometimes use these devices and six (7.9%) declared that they never use VSD. Thirty-six surgeons (47.4%) reported that they use ligation all the time, and 42 (55.3%) stated that upper pole vessels should be ligated at least once. Twenty two point four percent of the responders stated that they faced a complication, which they thought was related to VSD. Conclusion: The vast majority of surgeons routinely uses VSD and accepts it as a safe tool. However, the observed complication rate was very high. [ABSTRACT FROM AUTHOR]

Introduction: Thyroidectomy is commonly performed procedure aming general surgery oeprations. There are controversy about surgical approach of thyroid operations. In tis research we compared results of total thyroidectomy versus subtotal thyroidectomy for multinodular goitre. Material and method: Records of patients that have undergone thyroidectomy with diagnosis of multinodular goitre are investigated retrospectively. Results of patients compared in two goups as total thyroidectomy and subtotal thyroidectomy. Results: 195 operations performed. 150 of patients have undergone total thyroidectomy. Hypocalcemia developed in 7 patients permanently, and 30 patients temporary. Temporary hypocalcemia was more common in total thyroidecmy group. One sided larengeal nevre injury occured permanently in one patient and temporarly in four patients. Discussion: Altough complication rates of total thyroidectomy similar or slightly higher than subtotal thyroidectomy, to prevent recurrence of disease or to provide sufficient treatment in patients with cancer, total thyroidectomy must be the procedure to be preferred. [ABSTRACT FROM AUTHOR]