Thyroidectomy for large thyroid tumor poses a problem of cosmetics, especially in terms of wide post-operative scar and prominent neck wrinkles. In this manuscript, we performed purse-string suture for the first time for the closure of skin defect after thyroidectomy of large thyroid tumors which resulted in better cosmetics as compared to the conventional suturing method.
Increasing demand for better cosmetics following thyroidectomy for large thyroid tumor of \> 6 cm diameter created a necessity to find an alternative to the conventional technique (CT), which could be addressed by purse string technique (PST). A non-randomized controlled trial was conducted to new thyroid tumor patients at Cipto Mangunkusumo Hospital (RSCM) from October 2013 until December 2014. Thirty patients grouped into two intervention arms of thyroidectomy with PST and CT were assessed for post-operative scar outcomes.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
30
Thyroidectomy closure is performed using purse string suturing technique.
Thyroidectomy closure is performed using conventional suturing technique.
Length of scar
Length of scar in milimeter
Time frame: 8 to 12 weeks following thyroidectomy
Width of scar
Width of scar in milimeter
Time frame: 8 to 12 weeks following thyroidectomy
Wrinkle
Presence of wrinkle
Time frame: 8 to 12 weeks following thyroidectomy
Patient's satisfaction
Patient's satisfaction assessed using Likert scale of 1 to 10
Time frame: 8 to 12 weeks following thyroidectomy
Duration of surgery
Duration of surgery in minutes
Time frame: During surgery
Bleeding
Volume of bleeding during surgery in cc
Time frame: During surgery
Post operative hospital stay
Post operative hospital stay
Time frame: 1 week following thyroidectomy
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