Purse String Suture for the Closure of Large Thyroidectomy Resulted in Better Cosmetics
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Enrollment
- 30
- Primary Endpoint
- Length of scar
Study Overview
Brief Summary
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.
Detailed Description
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 Design
- Study Type
- Interventional
- Allocation
- Non Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- None
Masking Description
No masking
Eligibility Criteria
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •New cases of thyroid tumor in Doctor Cipto Mangunkusumo General Hospital
- •Tumor diameter > 6 cm
Exclusion Criteria
- •Previous surgery in the anterior neck area
- •Local involvement of lymph nodes requiring nodes dissection
Arms & Interventions
Purse String Technique
Thyroidectomy closure is performed using purse string technique.
Intervention: Purse string technique (Procedure)
Conventional technique
Thyroidectomy closure is performed using conventional technique.
Intervention: Conventional technique (Procedure)
Outcomes
Primary Outcomes
Length of scar
Time Frame: 8 to 12 weeks following thyroidectomy
Length of scar in milimeter
Width of scar
Time Frame: 8 to 12 weeks following thyroidectomy
Width of scar in milimeter
Wrinkle
Time Frame: 8 to 12 weeks following thyroidectomy
Presence of wrinkle
Patient's satisfaction
Time Frame: 8 to 12 weeks following thyroidectomy
Patient's satisfaction assessed using Likert scale of 1 to 10
Secondary Outcomes
- Duration of surgery(During surgery)
- Bleeding(During surgery)
- Post operative hospital stay(1 week following thyroidectomy)
Investigators
Ahmad Kurnia
Head of Surgical Oncology
Dr Cipto Mangunkusumo General Hospital