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Published in: Langenbeck's Archives of Surgery 3/2008

01-05-2008 | Original Article

Pain after minimally invasive videoassisted and after minimally invasive open thyroidectomy—results of a prospective outcome study

Authors: P. Del Rio, M. Berti, L. Sommaruga, M. F. Arcuri, S. Cataldo, M. Sianesi

Published in: Langenbeck's Archives of Surgery | Issue 3/2008

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Abstract

Background

Substantial modifications in surgical treatment of thyroid disease have changed the postoperative management of thyroidectomized patients. The reduction of postoperative pain permit a short-stay surgery.

Materials and methods

We have analyzed the patients treated in our Unit from July 2006 to December 2006, with minimally invasive cervicotomy and mini-invasive video-assisted thyroidectomy. We have registered the postoperative pain applying an evaluation protocol numeric scale. The results were analyzed by t test.

Results

One hundred thirteen patients were divided in two groups: group A, minimally invasive cervicotomy (15 male and 46 female patients); group B, mini-invasive video-assisted thyroidectomy (9 male and 43 female patients). Upon returning to the ward, the pain scale group A vs B was 2.77 ± 1.16 vs 2.5 ± 0.762 (p = 0.22) .At 24 h after surgery, the pain scale in group A was 1.82 ± 1.258 vs 1.031 ± 0.8608 (p < 0.005).

Conclusions

Both methods are safe, but mini-invasive video-assisted thyroidectomy gives not only a better cosmetic result but a reduction of postoperative pain especially at 24 h.
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Metadata
Title
Pain after minimally invasive videoassisted and after minimally invasive open thyroidectomy—results of a prospective outcome study
Authors
P. Del Rio
M. Berti
L. Sommaruga
M. F. Arcuri
S. Cataldo
M. Sianesi
Publication date
01-05-2008
Publisher
Springer-Verlag
Published in
Langenbeck's Archives of Surgery / Issue 3/2008
Print ISSN: 1435-2443
Electronic ISSN: 1435-2451
DOI
https://doi.org/10.1007/s00423-007-0229-7

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