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Surgical Endoscopy

Published in:

01-01-2011

Wound morbidity in mini-invasive thyroidectomy

Authors: Gianlorenzo Dionigi, Luigi Boni, Francesca Rovera, Stefano Rausei, Renzo Dionigi

Published in: Surgical Endoscopy | Issue 1/2011

Abstract

Background

The incidence of wound morbidity (WM) after conventional thyroidectomy (CT) is 2 to 7%. This study evaluated the rate of WM after video-assisted thyroidectomy (VAT), with emphasis on surgical-site infections (SSIs).

Methods

A total of 112 patients were recruited for this prospective, randomized surveillance analysis. The eligibility criteria included nodule smaller than 30 mm, gland volume less than 30 ml, and no previous neck surgery or advanced cancer. The exclusion criteria specified coexistent infection, immunosuppressive treatment, and pathologies requiring antibiotic prophylaxis. The patients were randomized for VAT or CT. Neither antibiotic prophylaxis nor a drain was used. The patients were followed after surgery for WM.

Results

Both groups consisted of 56 patients. The rate for WM was significantly lower in the VAT group (n = 1) than in the CT group (n = 8) (p < 0.05). The incidence of SSI was 5.3% after CT and 0% after VAT (p < 0.05), and the most common pathogenic organism was Staphylococcus aureus. All WMs became evident after patient discharge. Wound infection was associated with prolonged ambulatory dressings.

Conclusions

No previous studies have compared the rates for WM associated with endoscopic versus open surgery in the cervical area. Wound morbidity was significantly reduced after VAT relative to CT. The authors underscore the important effect of the minor surgical trauma associated with VAT on the development of SSIs.

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Title: Wound morbidity in mini-invasive thyroidectomy
Authors: Gianlorenzo Dionigi
Luigi Boni
Francesca Rovera
Stefano Rausei
Renzo Dionigi
Publication date: 01-01-2011
Publisher: Springer-Verlag
Published in: Surgical Endoscopy / Issue 1/2011
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI: https://doi.org/10.1007/s00464-010-1130-y

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Wound morbidity in mini-invasive thyroidectomy

Abstract

Background

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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