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

Dr Cipto Mangunkusumo General Hospital

Status: Completed

Conditions: Thyroidectomy

Treatments: Procedure: Purse string technique; Procedure: Conventional technique

Study type: Interventional

Funder types: Other

Identifiers

NCT03035383

DCiptoMGHAKurnia

Details and patient eligibility

About

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.

Full 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.

Enrollment: 30 patients

Sex: All

Volunteers: No Healthy Volunteers

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

Trial design

Primary purpose: Treatment

Allocation: Non-Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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30 participants in 2 patient groups

Purse String Technique

Experimental group

Description:

Thyroidectomy closure is performed using purse string technique.

Treatment:

Procedure: Purse string technique

Conventional technique

Active Comparator group

Description:

Thyroidectomy closure is performed using conventional technique.

Treatment:

Procedure: Conventional technique