Adhesive strip wound closure after thyroidectomy/parathyroidectomy: a prospective, randomized controlled trial

Area of Science:

• Surgical Innovation
• Wound Closure Techniques
• Plastic Surgery

Background:

• Conventional thyroid and parathyroid surgery closure uses absorbable sutures for epidermal and deep layers.
• Adhesive strips present an alternative for epidermal layer closure.
• This study aimed to compare adhesive strips with sutures for collar incision closure.

Purpose of the Study:

• To compare the efficacy and cosmetic outcomes of adhesive strips versus absorbable sutures for epidermal closure in neck surgery.
• To evaluate operative time, complication rates, and postoperative pain.

Main Methods:

• A prospective, single-blinded, randomized controlled trial involving 82 patients.
• Patients were randomized to either adhesive strips or absorbable subcutaneous sutures.
• Outcomes measured included operative time, complication rates, pain scores (day 1 and 6 weeks), and wound appearance (Hollander Cosmesis and Likert scales at 6 weeks).

Main Results:

• No significant differences in operative time or complication rates between the groups.
• Adhesive strips showed a statistically significant decrease in postoperative pain on day 1.
• Improved wound appearance at 6 weeks was observed in the adhesive strip group based on cosmetic assessments.

Conclusions:

• Adhesive strips are a safe and effective alternative for epidermal closure in neck surgical wounds.
• This method offers comparable or superior cosmetic benefits to traditional suture closure.
• The findings support the use of adhesive strips for improved patient outcomes and aesthetics.