Is the Routine Pressure Dressing After Thyroidectomy Necessary?

Study Overview
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Brief Summary
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Thyroidectomy is an operation that is commonly performed. After an operation a pressure dressing by Hypafix is usually used due to the belief that it will help to reduce complications such as post-operative bleeding or haematoma. However, the practice is uncomfortable to patients and makes it hard to detect early haematomas. We carried out a prospective randomised study to study the role of pressure dressing after thyroid surgery by evaluating the amount of fluids collected in the operative bed by ultrasonography compared with normal dressing.

Detailed Description
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Thyroidectomy is an operation that is commonly performed. In Department of Otolaryngology, Khonkaen University was performed this operation about 200 cases per years. After an operation a pressure dressing by Hypafix is usually used due to the belief that it will help to reduce complications such as post-operative bleeding or haematoma. However, the practice is uncomfortable to patients and makes it hard to detect early haematomas. We carried out a prospective randomised study to study the role of pressure dressing after thyroid surgery by evaluating the amount of fluids collected in the operative bed by ultrasonography compared with normal dressing.

Official Title
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Is the Routine Pressure Dressing After Thyroidectomy Necessary? A Prospective Randomized Controlled Study

Conditions
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Thyroid Neoplasms, Thyroid Nodules, Graves Disease, Goiter

Intervention / Treatment
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* Procedure: Normal dressing
* Procedure: Pressure dressing


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patients underwent thyroidectomy in Srinagarind hospital, Khonkaen University Exclusion Criteria: Patients with cervical lymph nodes metastases requiring neck dissection Patients that tissue pathology shown anaplastic carcinoma Patients with clinical or laboratory indicators of coagulation disorders
Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Control group<br>Pressure dressing | Procedure: Pressure dressing<br>* Pressure dressing<br>|
| Experimental: Experimental group<br>Normal dressing | Procedure: Normal dressing<br>* Normal dressing<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| amount of fluids collected in the operative bed by ultrasonography |  | participants will be followed for the duration of hospital stay, an expected average of 4 days | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Days retained drains |  | participants will be followed for the duration of hospital stay, an expected average of 4 days | 
| days of hospital stay |  | participants will be followed for the duration of hospital stay, an expected average of 4 days | 
| complication (bruise,bleeding,wound dehiscence) |  | participants will be followed for the duration of hospital stay, an expected average of 4 days | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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thyroid, thyroidectomy, dressing