Intraoperative Methylene Blue Spray for the Identification and Preservation of Vital Structures in Thyroidectomy
NCT07395388 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 136
Last updated 2026-02-09
Summary
This randomized controlled trial aims to evaluate the efficacy of intraoperative methylene blue (MB) spray in improving the identification and preservation of the recurrent laryngeal nerve (RLN) and parathyroid glands (PGs) during thyroidectomy. The study compares outcomes between patients receiving topical MB spray and those undergoing conventional visual dissection alone. Primary outcomes include the incidence of RLN injury and postoperative serum calcium levels.
Conditions
- Benign Multinodular Goiter
- Thyroidectomy
- Recurrent Laryngeal Nerve Injury
- Hypoparathyroidism
Interventions
- PROCEDURE
-
Intraoperative topical methylene blue spray
Intraoperative topical spray of 0.5 mL methylene blue applied to the thyroid lobe and surrounding tissue after mobilization.
- PROCEDURE
-
Conventional Dissection
Conventional visual identification and dissection without dye.
Sponsors & Collaborators
-
Services Hospital, Lahore
lead OTHER_GOV
Principal Investigators
-
Awais Amjad Malik, MBBS, FCPS · Services Institute of Medical Sciences
Study Design
- Allocation
- RANDOMIZED
- Purpose
- PREVENTION
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 60 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2022-01-10
- Primary Completion
- 2025-12-31
- Completion
- 2026-01-20
Countries
- Pakistan
Study Locations
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