title: Staples versus subcuticular closure in cervicotomy incisions.
abstract: Collar transverse incision is the typical surgical access for operations on thyroid and parathyroids. The cosmetic outcome resulting from its closure is of paramount importance given its anatomical exposure. The traditional methods of closure include metal clips, subcuticular stitch and glue. In this study we evaluated the cosmetic results on 10 patients who had their cervicotomy wound closed with clips comparing it to a second group of 10 patients who had the same incision closed with subcuticular stitch. The cosmetic outcome was evaluated with a questionnaire answered by the patients, by the operating surgeon and by a surgical nurse who was blinded to the technique used. The results of the questionnaire were grossly similar with no differences in the two groups. Only two complications were recorded in the subcuticular group. Both the techniques associate to similar cosmetic outcome, and the choice between the two should be left to the surgeon's personal preference.
authors.affiliation: Department of Surgical Sciences, "Sapienza" University of Rome, Viale Regina Elena 324, 00161 Roma, Italy. Electronic address: Salvatore.guarino@gmail.com.
authors.forename: Salvatore
authors.initials: S
authors.lastname: Guarino
authors.affiliation: Department of Surgical Sciences, "Sapienza" University of Rome, Viale Regina Elena 324, 00161 Roma, Italy.
authors.forename: Salvatore
authors.initials: S
authors.lastname: Sorrenti
authors.affiliation: Department of Surgical Sciences, "Sapienza" University of Rome, Viale Regina Elena 324, 00161 Roma, Italy.
authors.forename: Roberto
authors.initials: R
authors.lastname: Greco
authors.affiliation: Department of Surgical Sciences, "Sapienza" University of Rome, Viale Regina Elena 324, 00161 Roma, Italy.
authors.forename: Carlo
authors.initials: C
authors.lastname: Di Marco
authors.affiliation: Department of Surgical Sciences, "Sapienza" University of Rome, Viale Regina Elena 324, 00161 Roma, Italy.
authors.forename: Matteo
authors.initials: M
authors.lastname: Nardi
authors.affiliation: Department of Surgical Sciences, "Sapienza" University of Rome, Viale Regina Elena 324, 00161 Roma, Italy.
authors.forename: Angelo
authors.initials: A
authors.lastname: Filippini
authors.affiliation: Department of Surgical Sciences, "Sapienza" University of Rome, Viale Regina Elena 324, 00161 Roma, Italy.
authors.forename: Enrico
authors.initials: E
authors.lastname: de Antoni
authors.affiliation: Department of Surgical Sciences, "Sapienza" University of Rome, Viale Regina Elena 324, 00161 Roma, Italy.
authors.forename: Antonio
authors.initials: A
authors.lastname: Catania
mesh_terms: D000328:Adult; D000368:Aged; D004954:Esthetics; D005260:Female; D006801:Humans; D008875:Middle Aged; D017063:Outcome Assessment, Health Care; D017060:Patient Satisfaction; D012189:Retrospective Studies; D016037:Single-Blind Method; D011795:Surveys and Questionnaires; D013537:Sutures; D013965:Thyroidectomy; D058106:Wound Closure Techniques / Q000295:instrumentation*; D014945:Wound Healing
keywords: Cervicotomy wound closure; Collar incision; Staples; Subcuticular