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Electrocautery for cutaneous flap creation during thyroidectomy: a randomised, controlled study.

U Barbaros1, Y Erbil, N Aksakal

  • 1Department of General Surgery, Istanbul University, Turkey.

The Journal of Laryngology and Otology
|March 4, 2008
PubMed
Summary
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Electrocautery is as safe as scissors for thyroidectomy wound healing. This study found no increased risk of wound complications when using electrocautery for cutaneous flap creation during thyroid surgery.

Area of Science:

  • Surgical techniques
  • Wound healing research
  • Thyroid surgery

Background:

  • Concerns exist regarding electrocautery's impact on wound healing and infection risk in surgery.
  • Thyroidectomy commonly involves cutaneous flap creation, a procedure where surgical instrument choice may influence outcomes.

Purpose of the Study:

  • To compare the rate of wound complications between electrocautery and scissors for cutaneous flap dissection during thyroidectomy.
  • To identify risk factors associated with post-operative wound complications in thyroid surgery.

Main Methods:

  • A randomized controlled trial involving 239 patients undergoing thyroidectomy.
  • Patients were assigned to either electrocautery (n=126) or scissors (n=113) for flap dissection.
  • Data collected included patient demographics, surgical factors, and post-operative wound complications.

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Main Results:

  • No significant difference in overall wound complication rates between electrocautery (7.9%) and scissors (10.6%) groups (p=0.74).
  • Significant risk factors for wound complications included older age, higher body mass index (BMI), increased cutaneous tissue depth, and greater tissue weight.
  • A BMI > 27.5 kg/m2 was associated with a 13.7-fold increased risk of post-operative wound complications.

Conclusions:

  • Electrocautery is a safe alternative to scissors for cutaneous flap creation in thyroidectomy.
  • The use of electrocautery does not elevate the risk of wound complications in this surgical context.