Purse String Suture for the Closure of Large Thyroidectomy Resulted in Better Cosmetics

Not Applicable

Completed

• Conditions: Thyroidectomy
• Interventions: Procedure: Conventional technique; Procedure: Purse string technique

• Registration Number: NCT03035383
• Lead Sponsor: Dr Cipto Mangunkusumo General Hospital

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 Timeline

• Study Start: 2013-10-01
• Primary Completion: 2014-12-31
• Study Completion: 2014-12-31
• Status Verified: 2017-01
• Study First Submitted: 2017-01-22
• Study First Submitted QC: 2017-01-25
• Last Update Submitted: 2017-01-25
• Study First Posted: 2017-01-30
• Last Update Posted: 2017-01-30

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 30

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

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Conventional technique	Conventional technique	Thyroidectomy closure is performed using conventional technique.
Purse String Technique	Purse string technique	Thyroidectomy closure is performed using purse string technique.

Primary Outcome Measures

Name	Time	Method
Length of scar	8 to 12 weeks following thyroidectomy	Length of scar in milimeter
Width of scar	8 to 12 weeks following thyroidectomy	Width of scar in milimeter
Wrinkle	8 to 12 weeks following thyroidectomy	Presence of wrinkle
Patient's satisfaction	8 to 12 weeks following thyroidectomy	Patient's satisfaction assessed using Likert scale of 1 to 10

Secondary Outcome Measures

Name	Time	Method
Duration of surgery	During surgery	Duration of surgery in minutes
Bleeding	During surgery	Volume of bleeding during surgery in cc
Post operative hospital stay	1 week following thyroidectomy	Post operative hospital stay