Randomized trial of tissue adhesive vs staples in thyroidectomy integrating patient satisfaction and Manchester score

Amin, Mohamed Afizal Mohamed; Glynn, Fergal; Timon, Conrad

doi:10.1016/j.otohns.2009.01.003

Cited by 20 publications

(38 citation statements)

References 19 publications

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“…Published papers for 26 studies that included outcomes relating to patient experience and management of wound healing were identified from the three systematic reviews. 25–50 Only two studies included a validated instrument, or modification of a validated instrument, to assess outcomes. 27 41 These were for long-term scarring and cosmesis.…”

Section: Resultsmentioning

confidence: 99%

Developing outcome measures assessing wound management and patient experience: a mixed methods study

Elliott

2017

BMJ Open

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ObjectivesTo develop outcome measures to assess practical management of primary surgical wounds and patient experience.DesignMixed methods, including qualitative interviews and data extraction from published randomised controlled trials (RCTs).SettingTwo university-teaching NHS hospitals and three district NHS hospitals in the South West and Midlands regions of England.ParticipantsSixty-four patients and 15 healthcare professionals from abdominal general surgical specialities and obstetrics (caesarean section).MethodsMeasures were developed according to standard guidelines to identify issues relevant to patients’ experiences of surgical wounds and dressings, including analysis of existing RCT outcomes and semi-structured interviews. These were written into provisional questionnaire items for a single outcome measure. Cognitive interviews with patients and healthcare professionals assessed face validity, acceptability and relevance. Findings from interviews were regularly shared with the study team who suggested amendments to modify and reword items to improve understanding before further iterative testing with patients and healthcare professionals.ResultsAnalyses of existing RCT outcomes and interviews produced a total of 69 issues. Pretesting and iterative revision established the need for two separate measures. One measure addresses healthcare professionals’ experience of wound management in two key areas: exudate and its impact, and allergic reactions to the dressing. The other measure addresses patients’ experience of wounds in seven key areas: wound comfort, dressing removal, dressings to protect the wound, impact on daily activities, ease of movement, anxiety about the wound and satisfaction with dressing. Each measure took less than five min to complete and both were understood and acceptable to patients and healthcare professionals.ConclusionThis in-depth study has developed two measures to assess practical management of primary surgical wounds and patient experience. Further work to test their validity, reliability and application to other settings is now required.Trial registration numberHTA - 12/200/04; Pre-results.

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Section: Resultsmentioning

confidence: 99%

Developing outcome measures assessing wound management and patient experience: a mixed methods study

Elliott

2017

BMJ Open

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“…This is in agreement with a study evaluating 72 patients who underwent minimally invasive thyroid surgery which suggested no significant differences in cosmetic outcomes between tissue adhesive and staples after 3 months; however, overall satisfaction was higher with tissue adhesive, correlating with the ability to shower due to its waterproof benefits. 21 Interestingly, some studies have suggested that steristrips alone to approximate skin edges may have good cosmetic outcomes. 22 However, it is questionable as to whether they may have a higher risk of wound dehiscence in the initial postoperative period.…”

Section: Discussionmentioning

confidence: 99%

Does the Technique of Skin Closure Affect the Cosmesis of Cervical Thyroidectomy and Parathyroidectomy Scars? A Review of Literature

et al. 2018

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The cosmetic outcomes following thyroid and parathyroid surgery is a priority for patients as the surgical scar is in a visible area of the body. Although some have advocated the use of minimally invasive and robotic surgery, these are not without risks and it has been suggested that the scars are not necessarily more favorable. The three most common means of skin closure include the use of subcuticular sutures, clips, and tissue adhesive (with or without deeper subcutaneous sutures) and there are no previous reviews of the published evidence. In this study, the authors compare the cosmetic outcomes through a systematic review of literature. Three studies ( = 200) comparing subcuticular sutures and clips suggest superior cosmetic outcomes with sutures (with statistically significant differences in the immediate postoperative period). Three studies ( = 213) comparing sutures and tissue adhesive show superior outcomes with sutures in the early postoperative period with no differences thereafter. Two studies ( = 202) comparing tissue adhesive and clips do not show that one is superior to the other and show no significant differences. Overall the data are limited; however, the evidence suggests that subcuticular sutures may offer superior cosmetic outcomes than clips and tissue adhesive in conventional thyroid and parathyroid surgery.

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“…Meanwhile, PSS was rated based on scores of 0 to 10, with higher scores indicating better satisfaction and lower scores indicating poorer satisfaction. The PSS has been validated by Coulthard et al [ 11 ] and Blondeel et al [ 15 ] and revised by Amin et al [ 16 ].…”

Section: Methodsmentioning

confidence: 99%

The Effect ofChanna striatus(Haruan) Extract on Pain and Wound Healing of Post-Lower Segment Caesarean Section Women

Wahab

Kadir

Hussain

et al. 2015

Evidence-Based Complementary and Alternative Medicine

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Channa striatus has been consumed for decades as a remedy to promote wound healing by women during postpartum period. The objectives of this study were to compare postoperative pain, wound healing based on wound evaluation scale (WES), wound cosmetic appearance based on visual analogue scale (VAS) scores and patient satisfaction score (PSS), and safety profiles between C. striatus group and placebo group after six weeks of lower segment caesarean section (LSCS) delivery. A randomised, double-blind, placebo-controlled study was conducted. Subjects were randomised in a ratio of 1 : 1 into either the C. striatus group (500 mg daily) or placebo group (500 mg of maltodextrin daily). 76 subjects were successfully randomised, with 38 in the C. striatus group and 35 in the placebo group. There were no significant differences in postoperative pain (p = 0.814) and WES (p = 0.160) between the C. striatus and placebo groups. However, VAS and PSS in the C. striatus group were significantly better compared with the placebo group (p = 0.014 and p < 0.001, resp.). The safety profiles showed no significant differences between the groups. In conclusion, six-week supplementation of 500 mg of C. striatus extract showed marked differences in wound cosmetic appearance and patient's satisfaction and is safe for human consumption.

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Randomized trial of tissue adhesive vs staples in thyroidectomy integrating patient satisfaction and Manchester score

Cited by 20 publications

References 19 publications

Developing outcome measures assessing wound management and patient experience: a mixed methods study

Developing outcome measures assessing wound management and patient experience: a mixed methods study

Does the Technique of Skin Closure Affect the Cosmesis of Cervical Thyroidectomy and Parathyroidectomy Scars? A Review of Literature

The Effect ofChanna striatus(Haruan) Extract on Pain and Wound Healing of Post-Lower Segment Caesarean Section Women

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