갑상선 절제술 후 Dermabond Ⓡ , Steri-strips Ⓡ , 기존의 창상봉합을 이용한 피부봉합의 비교 (Comparing Wound Closure using Dermabond Ⓡ , Steri-strips Ⓡ and Conventional Sutrure Method in the Incisional Wound of Thyroidectomy)

서지정보

· 발행기관 : 고신대학교(의대) 고신대학교 의과대학 학술지
· 수록지 정보 : 고신대학교 의과대학 학술지 / 24권 / 1호 / 33 ~ 38페이지
· 저자명 : 박진형

초록

Background : This study is to compare a tissue adhesive(Dermabond Ⓡ ), adhesive skin tape(Steri-Strips Ⓡ ) with conventional wound closure technique in cosmetic respect for incisional wound of thyroidectomy.
Methods : Seventy-seven patients who underwent thyroidectomy between July 2008 and December 2008 were evaluated.
12 patients underwent skin closure with Dermabond Ⓡ , 15 patients with Steri-Strips Ⓡ and the other 13 patients with conventional suture method. At the time of postoperative 7 days and 6 months respectively, photographs of the incisional wounds were rated using a visual analogue scale by two plastic surgeons blinded to the method of skin closure.
All of 40 patients were available for the long term follow-up within 4 to 6 months postoperatively and the survey was carried out for outcome of cosmesis.
s Results : There was no significant difference among the three groups for appearance scores based on a visual analogue scale(Dermabond Ⓡ 80.3 ± 6.3 mm vs Steri-Strips Ⓡ 79.1 ± 5.1 mm vs conventional suture 80.7 ± 5.9 mm, F-score=1.41, p-value=0.94). And the satisfaction of patient was similar rate(Dermabond Ⓡ : Excellent 8.5% Good 50% Fair 33%, Poor 8.5% vs Steri-Strips Ⓡ : Excellent 13.3% Good 46.7% Fair 33.5%, Poor 6.7% vs conventional suture Excellent 7.7% Good 46.1% Fair 38.5%, Poor 7.7%, p-value=0.82).
n Conclusion : The practical advantages of tissue adhesives and adhesive skin tape are easy application, convenience and no need of suture removal. Dermabond Ⓡ and Steri-Strips Ⓡ for wound closure are an alternative, which includes many advantages to conventional suturing with a comparable cosmetic outcome.

영어초록

Background : This study is to compare a tissue adhesive(Dermabond Ⓡ ), adhesive skin tape(Steri-Strips Ⓡ ) with conventional wound closure technique in cosmetic respect for incisional wound of thyroidectomy.
Methods : Seventy-seven patients who underwent thyroidectomy between July 2008 and December 2008 were evaluated.
12 patients underwent skin closure with Dermabond Ⓡ , 15 patients with Steri-Strips Ⓡ and the other 13 patients with conventional suture method. At the time of postoperative 7 days and 6 months respectively, photographs of the incisional wounds were rated using a visual analogue scale by two plastic surgeons blinded to the method of skin closure.
All of 40 patients were available for the long term follow-up within 4 to 6 months postoperatively and the survey was carried out for outcome of cosmesis.
s Results : There was no significant difference among the three groups for appearance scores based on a visual analogue scale(Dermabond Ⓡ 80.3 ± 6.3 mm vs Steri-Strips Ⓡ 79.1 ± 5.1 mm vs conventional suture 80.7 ± 5.9 mm, F-score=1.41, p-value=0.94). And the satisfaction of patient was similar rate(Dermabond Ⓡ : Excellent 8.5% Good 50% Fair 33%, Poor 8.5% vs Steri-Strips Ⓡ : Excellent 13.3% Good 46.7% Fair 33.5%, Poor 6.7% vs conventional suture Excellent 7.7% Good 46.1% Fair 38.5%, Poor 7.7%, p-value=0.82).
n Conclusion : The practical advantages of tissue adhesives and adhesive skin tape are easy application, convenience and no need of suture removal. Dermabond Ⓡ and Steri-Strips Ⓡ for wound closure are an alternative, which includes many advantages to conventional suturing with a comparable cosmetic outcome.

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