Protecting the skin during thyroidectomy

Lira, Renan Bezerra; Carvalho, Genival Barbosa de; Vartanian, José Guilherme; Kowalski, Luiz Paulo

doi:10.1590/s0100-69912014000100013

Cited by 5 publications

(3 citation statements)

References 12 publications

(17 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…There are few methods described for protecting the skin during open neck surgery; other reported wound protection devices that are used to protect the skin include cut surgical gloves or a silicone Penrose drain. 1,2 There are no previous published reports of using tonsil swabs to protect the skin during neck surgery as described in this paper.…”

Section: Discussionmentioning

confidence: 93%

How we do it: ‘tonsil swabs please’ – an alternative use in open neck surgery

et al. 2021

View full text Add to dashboard Cite

Background Thyroid and parathyroid surgery often involves the use of heated instruments for dissection. Whilst these are beneficial, accidental thermal damage to the exposed skin edges can occur, resulting in an unsatisfactory cosmetic outcome. Tonsil swabs can be used in head and neck surgery intra-operatively to control bleeding. This paper describes an alternative use for them in protecting wound edges during the procedure. Method Damp tonsil swabs are sutured onto the wound edges after the initial skin incision. They remain present for the duration of the surgery and are removed at the time of skin closure. Results The tonsil swabs provide protection and help avoid accidental injury to the skin. No complications with this technique have been experienced. Conclusion This paper describes a simple, effective and practical technique for protecting the skin during neck procedures using resources readily available in a standard ENT operating theatre.

show abstract

Section: Discussionmentioning

confidence: 93%

How we do it: ‘tonsil swabs please’ – an alternative use in open neck surgery

et al. 2021

View full text Add to dashboard Cite

show abstract

“…The scar as the dependent variable assessed three months after surgery. The length and width in millimeter (numerical scale), the wrinkles, [5][6][7] and subjects' satisfaction on the esthetical criteria using the Likert Scale (1 to 10). 8,9 Data subjected to analysis.…”

Section: Methodsmentioning

confidence: 99%

Purse-String Suture for Skin Closure Following Large Thyroidectomy

Kurnia¹,

Siregar²,

Ramli³

2020

NRJS

View full text Add to dashboard Cite

Introduction. The number of large-sized thyroid nodules (>6 cm in diameter) is increasing. The conventional suturing technique for closure of thyroidectomies recommended for the tumor with a diameter up to 6 cm. Hence, this study aims to prove another surgical technique, purse-string stitching technique, for better esthetic results on large thyroidectomy. Method. This study was a non-randomized control trial. The subjects included the patients of Cipto Mangunkusumo Hospital in 2013 to 2014 with a thyroid tumor >6 cm in diameter without any history of anterior cervical surgery and positive lymph nodes. Subjects divided into the purse-string group and the conventional group. Thyroidectomies done on all subjects then closed by the suturing technique of each group. Outcomes recorded in the follow-up sessions, including wound scar size, wrinkle existence, and subject's satisfaction level Results. Purse-string technique resulted in shorter scar length compared to the conventional technique (median 35 mm vs. 94 mm, p <0.01). The other outcomes, such as the width of the scar (median 3 mm vs. 2 mm, p = 0.265), the presence of wrinkles (0 vs. 2, p = 0.480), and satisfaction level of subjects (median 9 vs. 9, p = 0.287) also assessed Conclusion: The purse-string suturing technique on large thyroidectomy wound closure could be an alternative, besides the conventional suturing technique for better esthetic results.

show abstract

“…However, there is no available product that can be used during thyroid surgery. To address this lack, one study introduced covering the wound site with surgical gloves to protect the incision, and another used a drain made of silicone as a wound protector [ 10 11 ]. However, these methods are not widely used because of discomfort in use or the question of cosmetic effects.…”

Section: Introductionmentioning

confidence: 99%

Assessing cosmetic results after conventional thyroidectomy using the EASY-EYE_C: a double-blind randomized controlled trial

et al. 2017

View full text Add to dashboard Cite

PurposeThe incidence of thyroid cancer is relatively high, especially in young women, and postoperative scarring after thyroidectomy is an important problem for both patients and clinicians. Currently, there is no available product that can be used for wound protection during thyroid surgery. We used the EASY-EYE_C, a new silicone-based wound protector.Methods We conducted a double-blind randomized controlled trial to assess the efficacy of the EASY-EYE_C with surgical scars. We studied 66 patients who underwent conventional total thyroidectomy or hemithyroidectomy performed by a single surgeon from August 2015 to June 2016. At 6-week follow-up, a single blinded physician observed the wounds to make clinical assessments using the Patient and Observer Scar Assessment Scale (POSAS), the Vancouver Scar Scale (VSS), and a modified Stony Brook Scar Evaluation Scale (SBSES).ResultsThere were no significant differences by sex, age, type of surgery, body mass index, length of wound, incision site (from sternal notch), or thyroid weight, but the duration of operation was significantly shorter in the experimental group (E group). The e-group also had better POSAS scores than the control group (C group), with means of 43.2 (standard deviation [SD], ±15.9) versus 68.3 (SD, ±21.5), respectively (P < 0.05). The modified SBSES and VSS scores were similar to those from the POSAS.ConclusionIn this study, all scores for evaluating outcomes were higher in the E group than in the C group. In addition, the operation time was significantly shorter in the E group. Therefore, the EASY-EYE_C may be useful for improving the cosmetic outcomes of conventional thyroid surgery.

show abstract

Protecting the skin during thyroidectomy

Cited by 5 publications

References 12 publications

How we do it: ‘tonsil swabs please’ – an alternative use in open neck surgery

How we do it: ‘tonsil swabs please’ – an alternative use in open neck surgery

Purse-String Suture for Skin Closure Following Large Thyroidectomy

Assessing cosmetic results after conventional thyroidectomy using the EASY-EYE_C: a double-blind randomized controlled trial

Contact Info

Product

Resources

About