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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]

Postoperative bleeding is a rare cause of mortality after thyroid surgery. Most of life threatening bleeding ocuur after 4 to 6 hours after surgery, rarely can be seen after 24 hours. In this article we present a case in whom we experienced life threatening bleeding late after thyroidectomy. During operation ultrasonic coagulation device was used for coagulation of vessels. Total thyroidectomy was performed a 54 year old female patient. She had a sudden swelling of throat, dyspnea and cyanosis after coughing. Hematoma was drained immediately at bed of patient by opening sutures. Afterwards she was taken to operation room, bleeding from right upper polar artery was recognised and tied. Patients must be followed after thyroidectomy for bleeding at least for 24 hours. In selected cases, suturation of big vessels can decrease bleeding ratio. [ABSTRACT FROM AUTHOR]

Introduction: Among surgical procedures, thyroidectomy is commonly performed surgery. Approximately 10-15 %of patients require re-thyroidectomy after first goiter operations. In this article we analyze results of patients undergone thyroidectomy for recurrent goiter. Material and method: Records of patients that have undergone thyroidectomy for recurrent goiter are investigated retrospectively. Results: Thirteen patients operated for recurrent goiter. All of them was female. Transient hypocalcemia was developed 4 (31%) patients. Additional complications were not observed. Discussion: For prevention of recurrent goiter, first operation must be total thyroidectomy. Although complications are higher in recurrent surgery when compared with first operation, this operation can be performed with lower morbidity rates by experienced surgeons. [ABSTRACT FROM AUTHOR]