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World Journal of Surgery

Published in:

01-06-2012

Cosmesis and Body Image after Minimally Invasive or Open Thyroid Surgery

Authors: Therezia Bokor, Erhard Kiffner, Bibiana Kotrikova, Franck Billmann

Published in: World Journal of Surgery | Issue 6/2012

Abstract

Background

Minimally invasive techniques, such as laparoscopic appendectomy or minimally invasive thyroid surgery, are thought to produce better cosmetic results. However, cosmesis in thyroid surgery was rarely investigated using a standardized approach. The objectives of this study were to evaluate body image and cosmesis in patients who had either minimally invasive (MI) or conventional open (CO) thyroid surgery.

Methods

Two hundred fifty patients of 540 participated (46.3 %): 50 patients (20.0 %) had MI thyroid surgery and 200 (80.0 %) had CO thyroid surgery. The patients filled out a body image questionnaire that investigated body image, cosmesis, and self-confidence. SPSS 19.0 software was used for statistical analysis.

Results

Although the mean incision size was significantly shorter in the MI group than in the CO group (2.8 vs. 3.5 cm), the mean scores from the body image questionnaire (body image score, cosmetic score, and self-confidence score) were similar for both groups (p > 0.05). No significant differences in postoperative complications were observed in these groups (p > 0.05).

Conclusions

Studies in the literature that evaluate body image and cosmesis in thyroid surgery using standardized methods are scarce. In our department, the results of a questionnaire showed that the MI approach has no advantage for body image and cosmesis over the CO approach. Further prospective randomized studies using different tools with a larger sample size are needed to investigate the use of MI procedures for thyroid surgery.

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Title: Cosmesis and Body Image after Minimally Invasive or Open Thyroid Surgery
Authors: Therezia Bokor
Erhard Kiffner
Bibiana Kotrikova
Franck Billmann
Publication date: 01-06-2012
Publisher: Springer-Verlag
Published in: World Journal of Surgery / Issue 6/2012
Print ISSN: 0364-2313
Electronic ISSN: 1432-2323
DOI: https://doi.org/10.1007/s00268-012-1563-7

At a glance: The STEP trials

Springer Medicine

Cosmesis and Body Image after Minimally Invasive or Open Thyroid Surgery

Abstract

Background

Methods

Results

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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