Thyroidectomy: Tissue Adhesive vs. Subcuticular Suture.
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.
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