scholarly journals Comparative study of steristrips and subcuticular suture for wound closure after thyroid surgery

2017 ◽  
Vol 4 (10) ◽  
pp. 3392 ◽  
Author(s):  
Vinay G. ◽  
Balasubrahmanya K. S.
Keyword(s):  
Comparative Study ◽  
Thyroid Surgery ◽  
Wound Closure ◽  
Thyroid Neoplasms ◽  
Skin Closure ◽  
Chi Square ◽  
Post Operative Pain ◽  
Acceptable Method ◽  
Chi Square Test ◽  
Neck Mobility

Background: Any skin closure technique aims at opposing the skin edges precisely without tension for sufficient time to allow healing to take place. The ease and speed with which the skin closure is completed, the level of patient discomfort, the complication rate, and the final cosmetic result are the factors which has to be considered in making a comparison of different types of wound closure. This study aims at comparing steristrips and subcuticular sutures for wound closure after thyroid surgery based on assessment of post-operative pain, neck mobility and cosmetic appearance.Methods: A comparative study was carried out among 90 subjects attending Department of Surgery, K. R. Hospital, Mysuru over a period of 10 months. Subjects of either sex undergoing thyroidectomy will be randomized to had their wounds closed by steristrips or subcuticular sutures using a simple randomization table. Patients who underwent previous neck irradiations, secondary neck surgeries, and patients with poor compliance were excluded from the study. Descriptive statistics, unpaired t-test and chi-square test were used to analyse the results.Results: The mean age group of the study subjects was 48.6 (range 24-76) years. The gender distribution showed a higher number of females (82) as compared to males (8). 70 patients were diagnosed with multinodular goitre, 16 patients were of thyroid neoplasms and 4 were of inflammatory thyroid conditions. 12 patients underwent subtotal thyroidectomy and 78 patients underwent total thyroidectomy. Wound closure by steristrips had less post-operative pain, acceptable neck mobility and excellent scar appearance as compared to subcuticular sutures.Conclusions: The choice of materials for wound closure will depend on the surgeon's preference. However, this study does show that steristrips sutures can be removed more quickly and is more acceptable method of wound closure as compared to subcuticular sutures after thyroid surgery.

scholarly journals Closure of skin in surgical wounds with skin stapler and conventional sutures: a comparative study

2021 ◽  
Vol 9 (1) ◽  
pp. 66
Author(s):  
Pinky Rabha ◽  
Shradha Srinivas ◽  
K. Bhuyan
Keyword(s):  
Comparative Study ◽  
Skin Closure ◽  
Aesthetic Outcome ◽  
Chi Square ◽  
Surgical Wounds ◽  
Operative Complications ◽  
Chi Square Test ◽  
Test Of Significance ◽  
Time Required ◽  
Post Operative Complications

Background: Application of suture is the technique of choice for apposition of skin edges in surgical wounds. The same procedure performed with application of staplers is faster and produce better cosmetic outcomes. A comparative study between conventional suture and stapler closure of skin in abdominal surgical wounds was undertaken to study the merits and demerits of the techniques. The aim was to study the time required for closure of surgical wounds, aesthetic outcome, post-operative complications and patient’s compliance.Methods: This was a single centre, prospective, observational study, conducted upon 100 patients undergoing abdominal surgeries. 50 patients were selected for skin closure of surgical wounds with stapler and the other 50 patients for closure with conventional nylon sutures. Data were collected for time required for closure of skin, aesthetic outcome, post-operative complications and patient’s compliance for both the groups for comparison. Data were analysed using student t test for comparison and chi square test of significance. Results: There was significant better results in stapler group in terms of cosmetic outcome (96% vs 88%, p<0.001), time taken during closure (60 vs 219 seconds, p<0.001) and patient’s compliance VAS of 1.44 vs 4.58 p<0.001).Conclusions: Closure of skin with stapler is a faster method. Patient’s compliance with stapler closure is better. It produces cosmetically acceptable scar and less discomfort or pain during its removal.

scholarly journals A prospective double blind randomized comparative study of safety and efficacy of Tapentadol versus Tramadol in post-operative orthopaedic patients

2017 ◽  
Vol 6 (11) ◽  
pp. 2727
Author(s):  
Vasavi Gedela ◽  
Sashank Gururaj
Keyword(s):  
Comparative Study ◽  
Pain Reduction ◽  
P Value ◽  
Chi Square ◽  
Double Blind ◽  
Orthopaedic Patients ◽  
Post Operative Pain ◽  
Parallel Group ◽  
Background Pain ◽  
Chi Square Test

Background: Pain following surgery is an unwanted effect which is to be relieved for the better outcome of surgery and anaesthesia. The study was conducted to compare the efficacy and safety of Tapentadol with Tramadol for post-operative pain relief in orthopaedic surgeries.Methods: After approval of IEC, patients of either sex aged between 18-55 years who had undergone orthopaedic surgeries at Government General Hospital, Kakinada between February 2013 to January 2015 were selected for study. It is a prospective double blind randomised active controlled parallel group comparative study. Sample size is 80 who fulfilled all criteria but there are 6 who discontinued drug in Tramadol group, so 74 were analysed. Written informed consent was taken from all patients, screening, pre anaesthetic evaluation done. Tablet Alprazolam 0.5mg was given at 9PM on previous day of surgery. Both Tramadol and Tapentadol were given 100mg orally 6th hourly. Pain intensity was analysed by visual analogue scale. Sedation was assessed with Modified Wilson sedation scale. Safety and tolerability was assessed by side effects reported by patients. Patients were assessed at 0, 2, 4, 6, 8, 10, 12, 18, 24, 30, 36, 42 and 48 hours post-operatively.Results: Pain reduction was higher in Tapentadol group on chi square test where p value is less than 0.001.Conclusions: Both Tramadol and Tapentadol are effective in treatment of post-operative pain. The pain reduction was higher in Tapentadol group on chi-square test where p value is <0.001. So, we can conclude from our study findings that Tapentadol is efficacious compared to Tramadol in reducing Post-operative pain. Both the drugs were well tolerated by the patients.

ADHESIVE GLUE Vs SUBCUTICULAR SUTURING IN THYROIDECTOMY

2021 ◽  
pp. 16-17
Author(s):  
Anil Kumar K N ◽  
Ashwin Kumar H
Keyword(s):  
Postoperative Pain ◽  
Clinical Outcome ◽  
Wound Closure ◽  
Medical Science ◽  
Wound Dehiscence ◽  
Wound Complications ◽  
P Value ◽  
Skin Closure ◽  
Post Operative Pain ◽  
Needle Prick

BACKGROUND: Suturing has been the commonest method of surgical wound closure that is being practiced because of good results of skin closure. With adhesive glue being an alternative for skin closure which is less time consuming, comfortable, without the risk of needle prick injury and leaves behind a cosmetically acceptable scar. OBJECTIVES: The aim of this study is to compare subcuticular suturing versus adhesive glue for skin closure in thyroidectomy with respect to clinical outcome which included postoperative pain, wound complications, wound dehiscence and cosmesis. MATERIALAND METHODS: This prospective study of 100 cases of skin closure using subcuticular suturing versus adhesive in thyroidectomy was carried out at BGS Global institute of medical science and Hospital, Bangalore with the aim of comparing suturing versus adhesive glue, with respect to clinical outcome which included postoperative pain, wound complications, wound dehiscence and cosmesis. RESULT: 100 patients divided into 2 groups, randomly underwent subcuticular suturing and adhesive glue skin closure. Post- operative pain was less in glue group (p value <0.001) and wound complications were comparable in both groups. CONCLUSION: Octylcyanoacrylate provides an effective and reliable means of skin closure and yields similar cosmetic results as with subcuticular skin sutures. The incidences of wound complications are comparable in both the groups. However the severity of postoperative pain is lesser in the adhesive group.

Evaluation of the Teaching Performance of Baghdad University and Salahaddin University From The Point of View of Their Department Heads ( Comparative Study )

2021 ◽  
Vol 8 (1) ◽  
pp. 398-432
Author(s):  
Shawbo Shamsaldeen Sulayman ◽  
Thiqa Ali Abdulwahid
Keyword(s):  
Comparative Study ◽  
Point Of View ◽  
Faculty Members ◽  
Future Research ◽  
Teaching Staff ◽  
Teaching Performance ◽  
Department Heads ◽  
Validity And Reliability ◽  
Chi Square ◽  
Chi Square Test

The objective of the research was to evaluate the performance of the teaching staff of the Baghdad and Salahaddin University-Erbil from the point of view of the heads of their departments in a number of different colleges as a comparative study. The research community was (247) individuals from the heads of departments in the above universities, and a sample size was chosen randomly was(197) unit, and (134) individuals from the department heads at the University of Baghdad, and (63) unit from the department heads at Salahaddin University-Erbil. To achieve the research objectives, a (closed — open) questionnaire was prepared consisting of (49) paragraphs distributed into six specific fields of alternatives. To answer it and one open question in the questionnaire, the validity and reliability of the questionnaire was verified. The data was analyzed using the (weighted mean equation, the percentage weight equation and the chi-square test). The results showed there was no differences between the responses of department heads in evaluating the teaching performance of faculty members in the research sample in two universities. In addition, a number of proposals were presented to develop the performance of faculty members from the point of view of department heads in both universities. The two researchers made a number of recommendations as well, as well as a number of proposals to conduct future research for researchers in this field.

Comparative Study of “Staples Versus Sutures” in Skin Closure Following Dupuytren’s Surgery

2002 ◽  
Vol 27 (1) ◽  
pp. 53-54 ◽  
Author(s):  
R. BHATIA ◽  
G. BLACKSHAW ◽  
V. BARR ◽  
R SAVAGE
Keyword(s):  
Randomized Controlled Trial ◽  
Comparative Study ◽  
Wound Closure ◽  
Controlled Trial ◽  
Skin Closure ◽  
Cosmetic Appearance ◽  
Randomized Controlled ◽  
Prospective Randomized Controlled Trial ◽  
Palmar Skin

This prospective, randomized controlled trial assessed the use of staples for closure of the palmar skin following Dupuytren’s surgery. Although staples were significantly quicker to insert than sutures, patients experienced significantly more pain on removal of staples. There was no difference in the cosmetic appearance of the wound in the two groups. We recommend use of staples for palmar wound closure following long procedures.

Prevalence of Galen’s anastomosis: an anatomical and comparative study

2002 ◽  
Vol 116 (10) ◽  
pp. 823-825 ◽  
Author(s):  
Julio C. Furlan ◽  
Lenine G. Brandão ◽  
Alberto R. Ferraz
Keyword(s):  
Comparative Study ◽  
Anatomical Study ◽  
Chi Square ◽  
Adult Human ◽  
Significant Difference ◽  
Human Cadavers ◽  
Chi Square Test ◽  
Anatomical Finding

An anatomical study of 50 fresh adult human cadavers was performed in order to verify prevalence of Galen’s anastomosis (GA) and to evaluate whether factors such as gender, ethnicity, side of the neck, and individual stature may interfere with GA prevalence. The results were analysed using the Chi-square test, Student t-test, and F-Snedecor test. GA was observed in 87 of 100 dissections. There was no statistically significant difference regarding GA prevalence between groups separated by ethnicity (p = 0.853), gender (p = 0.198), side of the neck (p = 0.766), or individual height (p = 0.199). Therefore, the GA was a frequent anatomical finding, and this result was not influenced by any studied factor. Comparing our data with previous studies, we also concluded that the GA seems to play an important role in the innervation of the larynx, even though its function remains unclear. Also, it is reasonable to consider GA a constant anatomical constituent.

scholarly journals Burden among Caregivers of Person with Schizophrenia and Schizoaffective Disorder: A Comparative Study

2015 ◽  
Vol 2 (4) ◽  
Author(s):  
Jaya Bharti
Keyword(s):  
Comparative Study ◽  
Schizoaffective Disorder ◽  
Demographic Variables ◽  
Burden Of Care ◽  
Physical And Mental Health ◽  
Chi Square ◽  
Cross Sectional ◽  
Chi Square Test ◽  
Patient Groups ◽  
The Relationship

This is a cross-sectional comparative study with the aim to compare two patient groups of schizophrenia and schizoaffective disorder and their respective caregivers with the objectives to quantify and compare the burden in caregivers of person with schizophrenia and schizoaffective disorder and to study the relationship between them. In this study, 40 patients schizophrenia, 40 patients of schizoaffective disorder, along with their 80 respective caregivers were taken on the basis of inclusion and exclusion criteria. Subjects were assessed using Socio-demographic and clinical sheet &BAS. Appropriate statistics such as mean, standard deviation, chi-square test, unpaired t test, Pearson’s correlation were applied to analyze the data. The results of the study revealed considerable burden of care in families of the patients and a significantly greater burden of care in caregivers of patients with schizoaffective especially in the following domains: spouse related, caregivers’ routine, physical and mental health, taking responsibility, patient’s behaviour and caregiver’s strategy. Some of the demographic variables like age and education etc. were also found to have significant correlation with burden of care.

scholarly journals A Comparative Study between Conventional Sutures, Staples and Adhesive Glue for Clean Elective Surgical Skin Closure

2021 ◽  
pp. 90-97
Author(s):  
Kiran Mastud ◽  
Y. R. Lamture ◽  
Meenakshi Yeola(Pate)
Keyword(s):  
Wound Healing ◽  
Comparative Study ◽  
General Surgery ◽  
Healing Process ◽  
Surgical Site Infections ◽  
Skin Closure ◽  
Medical Sciences ◽  
Surgical Stapler ◽  
Post Operative Pain ◽  
Spss Software

Background: A surgeon's signature is 'scar' [1]. On a regular basis, surgeons face various kinds of wounds which must be healed. The healing process and cosmetic result can be influenced by wound and incision closure techniques. The Goal of this Research is to Compare 3 Skin Closure Techniques: conventional skin sutures, adhesive glue, surgical stapler. These methods will be used to determine which of them is superior in terms of wound healing and cosmetic outcome in clean elective surgeries. Objectives: To compare duration between closure by 3 methods. To compare prices amongst the 3 methods. A comparison of the cosmetic appearances of the skin after closure. A comparison of post-operative pain between the 3 methods. To assess surgical site infections after closure with these 3 methods Methodology: 90 patients, undergoing clean elective surgeries, will be included in this study. 30 patients will be included in every group. Hospitalised under Department of General Surgery in Datta Meghe Institute Of Medical Sciences, Wardha. The study will be conducted between October 2020 to October 2022. Results: The result would be undertaken in SPSS software. Conclusion: Conclusion will be based on findings of study protocol.

scholarly journals Study of the incidence of hypocalcemia in patients undergoing bilateral thyroid surgery

2020 ◽  
Vol 7 (9) ◽  
pp. 2914
Author(s):  
Baleshwar Dhiman ◽  
Satish Dalal ◽  
Nityasha Dalal ◽  
Sethu Raman
Keyword(s):  
Serum Calcium ◽  
Thyroid Surgery ◽  
Thyroid Disease ◽  
Study Data ◽  
P Value ◽  
Chi Square ◽  
Ethical Approval ◽  
Chi Square Test ◽  
Calcium Measurement ◽  
Benign Thyroid

Background: Thyroid surgery are among the most common operations performed all over the world. Hypocalcemia following total thyroidectomy is a fairly common complication. Occurrence of acute hypocalcemia can be predicted in patients undergoing thyroid surgery, based on serial calcium measurement and this helps in early prediction of hypocalcemia. The aim of present study was to assess the incidence of post thyroidectomy hypocalcemia and factors which might play a role in its occurrence.Methods: A total 30 patients who underwent bilateral thyroidectomy were analysed. The study period was from June 2017 to March 2019. The incidence of hypocalcemia was analysed with serial calcium estimation in immediate post-operative period, 4 hours and 24 hours after surgery and on 5th post-operative day. The factors analysed included pre-operative and post-operative serum calcium levels, clinical features, the disease type and factors related to surgery. The ethical approval was taken from the ethical committee of the institute. At the end of the study data was collected and analysed by using student t-test and chi square test. A p-value of less than 0.05 was considered significant.Results: Post-operative transient hypocalcemia developed in 21 patients out of 30 (70%). Of them six patients (28.75%) developed severe hypocalcemia and 15 (71.42%) developed mild to moderate hypocalcemia. Out of six patients, five patients were histopathologically diagnosed as malignant thyroid disease. 15 patients who developed mild to moderate hypocalcemia were diagnosed to be having benign thyroid conditions.Conclusions: Patients underwent thyroid surgery for malignant conditions showed higher incidence and severity hypocalcemia as compared to cases where surgery was performed for benign thyroid disease. This complication can be prevented with meticulous perioperative dissection, prompt identification of parathyroid glands and frequent postoperative monitoring of serum calcium levels.

scholarly journals COMPARATIVE STUDY OF COMPLETED SUICIDE BASED ON SEASON AND DISEASES IN BUSHEHR PROVINCE, (2006-2015)

2017 ◽  
Vol 5 (4) ◽  
pp. 285-291
Author(s):  
Montazeri Mahmood ◽  
Hiyam Hosseini ◽  
Behroz Jokar
Keyword(s):  
Comparative Study ◽  
Cross Sectional Study ◽  
Chi Square ◽  
Cross Sectional ◽  
Completed Suicide ◽  
Significant Difference ◽  
Different Seasons ◽  
Minimum Number ◽  
Chi Square Test ◽  
The Comparative Study

Suicide, an act in which individuals sacrifice voluntarily themselves, is considered as a serious psychosocial problem. The main objective of the present study was to determine the comparative study of completed suicide based on season and diseases in Bushehr during 2006-2015. This consideration has been done as a retrospective cross-sectional study; the data were collected by the check list. After coordination to the medico legal 343 cases of completed suicide lead to death over a ten year period from 2006 to 2015 were extracted and the data were analyses by SPSS software. Completed suicides were most prevalent in spring 29.7% (102), whereas least prevalent in autumn 20.1% (69). There was no significantly in different seasons in year (P=0.065). But, was a statistically significant difference observed in the different gender and different seasons of the year (P=0.001). The maximum number of completed suicides 10.2% (35) was observed in April, while the minimum number 6.1% (21) was reported in September and October, too. The value Chi square test was statistically significant differences diseases and different seasons (P=0. 001). The psychological disease was observed most in spring and winter seasons. Also was a significant relationship between season of the year and the method of suicide (P=0.001). The number of completed suicides was higher in moderate and cold seasons.

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