None listed
Conditions
Brief summary
The study is being done to compare to 2 methods of incision ( a surgical cut to the skin and tissue) in patients undergoing surgical removal of part or all of the thyroid gland.: 1. Using a scalpel (cutting skin and tissue with a metal blade) or 2. Electrocautery (also known as diathermy, a method of cutting skin and tissue using heat). The researchers want to find out which of these procedures can make the quickest incision, the best cosmetic outcome (the best looking scar), is least painful for the participant and heals the best.
Interventions
In the operating theatre, the patient will be in a supine position and after general anaesthesia with endotracheal intubation the neck will be hyper-extended by placing a sand-bag between shoulders; table titled to 30° anti-trendelenburg position.
After skin disinfection with suitable antiseptic (as determined by operating surgeon) and preparation of the sterile field, an adequate “collar” incision will be performed, at the level of cricoid bone with diathermy according to randomization. The dia
In the operating theatre, the patient will be in a supine position and after general anaesthesia with endotracheal intubation the neck will be hyper-extended by placing a sand-bag between shoulders; table titled to 30° anti-trendelenburg position. After skin disinfection with suitable antiseptic (as determined by operating surgeon) and preparation of the sterile field, an adequate “collar” incision will be performed, at the level of cricoid bone with diathermy according to randomization. The diathermy incision will be performed using the cutting mode at 40. The operation will then proceed as per the operating surgeon’s usual technique. Compliance to treatment allocation will be monitored by review of the operation report completed by the surgeon.
Sponsors
Hunter New England Local Health District
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Open (masking not used)
Eligibility
Sex/Gender
All
Age
18 Years to 50 Years
Healthy volunteers
No
Inclusion criteria
All patients undergoing elective or semi-urgent booked total or hemithyroidectomy who provide written informed consent, having procedure at participating sites.
Exclusion criteria
Have undergone previous neck surgery or radiotherapy Require lateral neck surgery Unable to attend follow-up appointments with treating surgeon Refuse or are unable to provide written consent to participate
Outcome results
None listed