Influence of the platysma suture on postoperative pain and wound healing.
Does a running platysma suture after primary thyroid resection alter direct postoperative pain, wound healing and long term cosmetic results. Primary outcome measure is if the lack of a platysma-Suture decreases the postoperative pain (detected by the visual pain score 0-10) and reduces the pain medication (detected by the cumulative NSAID and opioid treatment per patient). The second Question to be answered is if the cosmetic scar result (detected by the Patient and Observer Scar Assessment Score) 6 month after thyroidectomy is better in the intervention group (no Platysma-Suture) or not.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
80
University Hospital Tuebingen
Tübingen, Germany
Postoperative Pain
visual analogue pain scale (0-10)
Time frame: Pain at morning of the first postoperative day
wound infection
wound infections needing antibiotics or reintervention
Time frame: within 14 days postoperative
scar cosmesis
scar cosmesis according to patient and observer scar assessment scale (POSAS)
Time frame: 6 months after surgery
Postoperative Pain
visual analogue pain scale (0-10)
Time frame: Pain 6h after surgery, at the morning of the second postoperative day, 14 days after surgery
Cervical Seroma/Hematoma
clinical apparent swelling verified by ultrasound
Time frame: 14 days after surgery
Disorders of the functional anatomy of the neck
New onset of clinically described swallowing problems and reduced depression of the corners of the mouth
Time frame: At six months postoperative
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