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Joint Event
February 21-22, 2019 | Paris, France
Microbiology & Applied
Microbiology
2
nd
International Conference on
World Congress on
Wound Care, Tissue Repair
and Regenerative Medicine
&
Journal of Trauma and Critical Care | Volume 3
Scar formation and patient satisfaction after thyroidectomy with and without surgical drains
Hyungsuk Yi
Kosin University College of Medicine, South Korea
Background:
Several comparative studies havedocumented the
outcomes of negative pressure drain use after thyroidectomy.
However, theseprevious studies didnot focus on scar formation.
The aim of this study was to compare thyroidectomy outcomes
with and without negative pressure drain use in terms of scar
formation.
Methods:
Nine hundred seventy-five patients who underwent
thyroidectomy between January 2012 and December 2013, at
Kosin University Gospel Hospital were enrolled in this study.
Patients were assigned to one of two groups at the surgeon’s
discretion: the negative pressure drain group (n=515) or the no
drain group (n=460). Medical records were reviewed, and the
incidence and severity of scar formation were compared. We
estimated patient satisfaction seven months postoperatively
based on esthetic and functional outcomes using the Patient
and Observer Scar Assessment Scale.
Results:
The incidence of mild scarring was higher in the no
drain group, but this difference was not statistically significant
(P=0.069). The incidence of severe scarring was significantly
higher in the negative pressure drain group (5.83%, P<0.001).
Based on the Patient and Observer Scar Assessment Scale data
from205 patients, patient satisfactionwas significantly higher in
the no drain group (P=0.006). Itching was reported significantly
less frequently in the no drain group (P=0.034). There were no
significant differences between groups with respect to pain or
observer scar scale score.
Conclusion:
This study suggests that not using a drain after
thyroidectomy leads to high patient satisfaction and reduces
the likelihood of severe scar formation.
Speaker Biography
Hyungsuk Yi is a plastic surgeon. He is an assistant professor of Kosin University, Busan,
South Korea. He is the chairman of Department of Plastic and Reconstructive Surgery. He is
an academic director at the Wound Research Society of Busan, South Korea.
e:
sencha21@naver.comHyungsuk Yi
, J Trauma Crit Care, Volume 3
DOI: 10.4066/2591-7358-C1-003