{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,26]],"date-time":"2026-02-26T15:09:54Z","timestamp":1772118594925,"version":"3.50.1"},"reference-count":27,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2012,6,19]],"date-time":"2012-06-19T00:00:00Z","timestamp":1340064000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Head &amp; Neck"],"published-print":{"date-parts":[[2013,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Options for controlling hemostasis during thyroidectomy include bipolar vessel sealing system and ultrasonic technology. The purpose of this study was to compare these energy\u2010based devices on the performance of open thyroidectomy for benign disease with emphasis given to postoperative parathyroid function.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Among the available energy\u2010based devices, the LigaSure Precise (LP; Valleylab, Boulder, CO) and FOCUS Shears (FS; Ethicon Endo\u2010Surgery, Cincinnati, OH) were evaluated. One hundred ninety\u2010nine consecutive patients scheduled for open thyroidectomy were prospectively randomized into 2 similar\u2010sized groups. Operative time, morbidity, incision length, postoperative pain, and hospital stay were analyzed. Postoperative hypoparathyroidism was monitored with serial determinations of intact parathyroid hormone (iPTH) and serum calcium.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Early postoperative measurement of iPTH plasma level, although within the reference range, was significantly lower in the FS group (\n                      <jats:italic>p<\/jats:italic>\n                      &lt; .001). Oral calcium supplementation was significantly higher and prolonged in the FS group.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The present study demonstrates a significant difference of the rates for postoperative parathyroid malfunction when using different energy\u2010based devices. \u00a9 2012 Wiley Periodicals, Inc. Head Neck, 2013<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/hed.23005","type":"journal-article","created":{"date-parts":[[2012,6,19]],"date-time":"2012-06-19T11:44:07Z","timestamp":1340106247000},"page":"562-567","source":"Crossref","is-referenced-by-count":22,"title":["Parathyroid function after open thyroidectomy: A prospective randomized study for ligasure precise versus harmonic FOCUS"],"prefix":"10.1002","volume":"35","author":[{"given":"Gianlorenzo","family":"Dionigi","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sam","family":"Van Slycke","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stefano","family":"Rausei","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luigi","family":"Boni","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Renzo","family":"Dionigi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2012,6,19]]},"reference":[{"key":"e_1_2_5_2_2","unstructured":"Ethicon Endo\u2010Surgery Inc. Summary of safety and effectiveness report on the UltraCision Harmonic Scalpel. Available at:http:\/\/www.accessdata.fda.gov\/cdrh_docs\/pdf\/K993054.pdf."},{"key":"e_1_2_5_3_2","unstructured":"Food and Drug Administration Department of Health & Human Services. Medical devices cleared for use report. Available at:http:\/\/www.fda.gov\/MedicalDevices\/ProductsandMedicalProcedures\/DeviceApprovalsandClearances\/510kClearances\/ucm091809.htm."},{"key":"e_1_2_5_4_2","unstructured":"Ethicon Endo\u2010Surgery Inc. Traditional 510(k) summary of the Harmonic FOCUS shears aka Ultrasonic surgical instrument. Available at:http:\/\/www.accessdata.fda.gov\/cdrh_docs\/pdf10\/K100597.pdf."},{"key":"e_1_2_5_5_2","unstructured":"The Council of the European Communities. Council directive 93\/42\/EEC concerning medical devices. Available at:http:\/\/eur\u2010Lex.europa.eu\/LexUriServ\/LexUriServ.do?uri=CONSLEG:1993L0042:20071011:EN:PDF."},{"key":"e_1_2_5_6_2","first-page":"75","article-title":"Thyroid surgery: new approach to dissection and hemostasis","volume":"15","author":"Dionigi G","year":"2006","journal-title":"Surg Technol Int"},{"key":"e_1_2_5_7_2","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.132.10.1069"},{"key":"e_1_2_5_8_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00423-008-0386-3"},{"key":"e_1_2_5_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2009.06.745"},{"key":"e_1_2_5_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2007.01.037"},{"key":"e_1_2_5_11_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.sla.0000197334.58374.70"},{"key":"e_1_2_5_12_2","unstructured":"Food and Drug Administration Department of Health & Human Services. Summary of safety and effectiveness information for the ValleyLab LigaSure vessel sealing system. Available at:http:\/\/www.accessdata.fda.gov\/cdrh_docs\/pdf\/K981916.pdf."},{"key":"e_1_2_5_13_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-002-8833-7"},{"key":"e_1_2_5_14_2","unstructured":"Food and Drug Administration Department of Health & Human Services. Review of the Force Triad electrosurgical generator. Available at:http:\/\/www.accessdata.fda.gov\/cdrh_docs\/pdf5\/K051644.pdf."},{"key":"e_1_2_5_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2009.04.003"},{"key":"e_1_2_5_16_2","first-page":"34","article-title":"Transplantation of the parathyroid glands in man: clinical indications and results","volume":"78","author":"Wells SA","year":"1975","journal-title":"Surgery"},{"key":"e_1_2_5_17_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1445-2197.2007.04018.x"},{"key":"e_1_2_5_18_2","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.1992.01420070118021"},{"key":"e_1_2_5_19_2","doi-asserted-by":"publisher","DOI":"10.1586\/17434440.5.6.699"},{"key":"e_1_2_5_20_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00423-007-0165-6"},{"key":"e_1_2_5_21_2","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-200211000-00005"},{"key":"e_1_2_5_22_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1445-2197.2007.04183.x"},{"key":"e_1_2_5_23_2","doi-asserted-by":"publisher","DOI":"10.1067\/msy.2002.123005"},{"key":"e_1_2_5_24_2","doi-asserted-by":"publisher","DOI":"10.1007\/s002680010173"},{"key":"e_1_2_5_25_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00423-008-0454-8"},{"key":"e_1_2_5_26_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.SLA.0000048454.11276.62"},{"key":"e_1_2_5_27_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-002-8781-2"},{"key":"e_1_2_5_28_2","unstructured":"Food and Drug Administration Department of Health & Human Services. Review of the LigaSure curved small jaw open sealer\/divider device. 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