Devi, T (2022) A Study on Comparison of Subcuticular Suturing and Tissue Adhesive 2-Octyl Cyanoacrylate for Skin Closure in Thyroidectomy at RGGGH, Chennai. Masters thesis, Madras Medical College, Chennai.
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Abstract
INTRODUCTION: A basic need for skin closure is wound approximation. A good wound healing and cosmetically good scar is an ideal surgeon‟s practice. Various skin closure techniques are available like staplers, skin glue and adhesive tapes. Based on efficacy of advanced suture techniques patient may be benefited with better cosmesis, lesser pain in postoperative period, and less wound infection, lesser hospital stay. Hence it is better to study and compare adhesive glue with suture material for the better outcome for the patient. Thyroid surgeries are one of the most commonly performed surgeries by a general surgeon. Surgery in this region also raises significant aesthetic problems as the neck region is easily visible to other people and therefore it is very important. These surgeries classically require an anterior neck incision that are at the risk of undesirable aesthetic results when the scars do not form as expected. Moreover these surgeries are practiced in young woman and incidence of thyroid disease is three times more common in women than men. Also incidences peaks in third and fourth decades of life. For all these reasons the cosmetic outcomes of this kind of surgery is very important. Various skin closure techniques like Sutures, tapes, staplers and tissue adhesive glue are available to achieve cosmetically better scar. Skin closure should be safe, pain free and to achieve better scar. There are various methods of skin closure which include Suture materials, staplers, tapes and tissue adhesive glue. The 2- octyl cyanoacrylate adhesive glue is used for various applications like tissue adhesion, hemostasis, closure of CSF leaks, vascular embolisation , application of skin grafts and skin closure. So, this study is designed to study and compare the efficacy of tissue adhesive with subcuticular suture in thyroidectomy. AIM AND OBJECTIVES: To compare the subcuticular and 2-octyl cyanoacrylate glue for skin closure in thyroidectomy at RGGGH, Chennai”. Objectives : A Comparison of subcuticular suture using 3.0 Monocryl and 2-octyl cyanoacrylate tissue adhesive glue in thyroidectomy skin closure in view of the following: • Time taken for skin closure. • Post operative pain using visual analogue scale. • Wound scar using Stony Brook scar evaluation scale. ELIGIBILITY CRITERIA INCLUSION CRITERIA: All patients undergoing Total thyroidectomy and Hemithyroidectomy. EXCLUSION CRITERIA: • Diabetic. • Patient undergoing total thyroidectomy for malignancy with neck dissection/recurrence/partial excision. • Known bleeding diathesis. • Known personal and family history of keloid formation or scar hypertrophy. • Known allergy to cyanoacrylate or formaldehyde. SELECTION OF SUBJECTS: Patients undergoing total thyroidectomy and hemi thyroidectomy in RGGGH, Chennai. STUDY PERIOD: 1 year. PLACE OF STUDY: Institute of General surgery, Rajiv Gandhi Government General Hospital, Chennai DESIGN OF STUDY : Prospective study. PARTICIPANTS: any case of Total thyroidectomy and Hemi thyroidectomy excluding the patients with diabetics, malignancy, recurrence, risk of keloid formation, allergic to cyanoacrylate and bleeding disorders. DATA COLLECTION: Data regarding History, surgery done and outcome. METHODS: Observation Study. RESULTS The collected data were analysed with IBM SPSS Statistics for Windows, Version 23.0 (Armonk, NY: IBM Corp).To describe about the data descriptive statistics frequency analysis, percentage analysis were used for categorical variables and the mean & S.D were used for continuous variables. To find the significant difference between the bivariate samples in Independent groups the Unpaired sample t-test was used. To find the significance in categorical data Chi-Square test was used similarly if the expected cell frequency is less than 5 in 2×2 tables then the Fisher's Exact was used. In all the above statistical tools the probability value .05 is considered as significant level. CONCLUSION: This study was conducted to compare skin closure techniques with tissue adhesives and skin sutures. The concept of tissue adhesive is superior to skin suture due to the following properties: 1. Faster, comfortable and cosmetically better. 2. Time taken for skin closure is shorter which in turn reduces operating time. 3. It provides flexible, water resistant and sealed skin closure. 4. It forms water tight barrier and allows the patient to take shower at any time. 5. Stitches need not be removed. 6. No need to apply bandages. 7. Reduced postoperative pain. 8. It disappears naturally as incision heals and leaves no mark. 9. It is non- irritant and can be safely applied. Therefore it is concluded that Octyl cyanoacrylate can be used in surgical skin closure in clean elective surgeries.
| Item Type: | Thesis (Masters) |
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| Additional Information: | 221811004 |
| Uncontrolled Keywords: | Comparison, Subcuticular Suturing, Tissue Adhesive 2-Octyl Cyanoacrylate, Skin Closure, Thyroidectomy. |
| Subjects: | Respiratory Medicine > General Surgery > Respiratory Medicine > General Surgery |
| Depositing User: | Subramani R |
| Date Deposited: | 01 May 2022 02:57 |
| Last Modified: | 22 Jun 2023 04:19 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/19570 |
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