title: Randomized trial of tissue adhesive vs staples in thyroidectomy integrating patient satisfaction and Manchester score.
abstract: OBJECTIVE
  Closure of skin incision of minimally invasive thyroidectomy with tissue adhesive is compared with surgical staples for 1) cosmetic appearance, 2) patient pain score, and 3) patient satisfaction score.
  
  
  METHODS
  Prospective single-blinded randomized study.
  
  
  METHODS
  Seventy-two patients undergoing minimally invasive thyroid surgery using video-assisted thyroidectomy (VAT) and minimal incision thyroidectomy (MIT) techniques were randomized for skin closure into two groups, one using staples and the other using tissue adhesive. Patients evaluated their pain on the first and tenth postoperative days. Scars were assessed using the Manchester scar assessment tool, and patients completed a satisfaction assessment form.
  
  
  RESULTS
  Sixty out of the 72 patients were followed up for three months postoperatively. Assessment of wound cosmesis revealed no statistical difference; however, there was a statistical difference in ability to shower and overall satisfaction in the tissue adhesive group (P = 0.017).
  
  
  CONCLUSIONS
  Tissue adhesive is an excellent alternative for skin incision closure, having the added advantage of ability to shower on the same day, avoidance of the anxiety associated with staple removal, and no General Practitioner (GP) visit required for wound care. The use of tissue adhesive achieves higher patient satisfaction levels and enhances the perception of minimally invasive thyroid surgery (MITS) techniques among patients and surgeons alike.
authors.affiliation: St. James's Hospital, Dublin, Ireland. mohamin@rcsi.ie
authors.forename: Mohamed
authors.initials: M
authors.lastname: Amin
authors.forename: Fergal
authors.initials: F
authors.lastname: Glynn
authors.forename: Conrad
authors.initials: C
authors.lastname: Timon
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D016009:Chi-Square Distribution; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures; D017060:Patient Satisfaction; D018709:Statistics, Nonparametric; D017792:Surgical Stapling; D013965:Thyroidectomy / Q000379:methods*; D014014:Tissue Adhesives; D016896:Treatment Outcome
chemical_list: D014014:Tissue Adhesives