Surgery Today

, Volume 40, Issue 11, pp 1018–1022

Flapless conventional thyroidectomy: A prospective, randomized study

  • Erdinc Kamer
  • Haluk Unalp
  • Hayrullah Derici
  • Taner Akguner
  • Yesim Erbil
  • Halim Issever
  • Mustafa Peskersoy
Original Article

DOI: 10.1007/s00595-009-4186-3

Cite this article as:
Kamer, E., Unalp, H., Derici, H. et al. Surg Today (2010) 40: 1018. doi:10.1007/s00595-009-4186-3

Abstract

Purpose

Conventional thyroid surgery is one of the most common operations performed worldwide. The conventional technique involves placement of small or large cutaneous flaps. However, the published data regarding flap use for thyroidectomy are contradictory. This study presents the results using a flapless conventional thyroidectomy and the efficacy of this approach in a thyroidectomy. In addition, the study determined whether there are any advantages associated with the use of this approach in comparison to conventional thyroid surgery.

Methods

One hundred and forty-two patients underwent a thyroidectomy. The patients were randomly assigned to surgical procedures. Patients in Group 1 (n = 70) underwent a conventional thyroidectomy, and patients in Group 2 (n = 70) underwent a conventional thyroidectomy without a cutaneous flap.

Results

There was no significant difference between the two groups in terms of age, sex, body mass index, length of incision, gland volume, and length of hospital stay. Postoperative pain was significantly less in Group 2 than in Group 1 (P = 0.006). Patients in Group 2 showed significantly lower requirement for postoperative intravenous analgesic (P = 0.001), and postoperative peroral analgesic (P = 0.023) in comparison to those in Group 1. Incidences of transient vocal cord paralysis and hypocalcemia were 1.4% and 1.4%, respectively. Of 140 patients, 5 (3.6%) developed postoperative wound complications.

Conclusions

These results indicate that a flapless thyroidectomy is safe and technically feasible, and therefore could be an alternative to a conventional thyroidectomy.

Key words

Thyroidectomy With cutaneous flap Without cutaneous flap 

Copyright information

© Springer 2010

Authors and Affiliations

  • Erdinc Kamer
    • 1
  • Haluk Unalp
    • 1
  • Hayrullah Derici
    • 1
  • Taner Akguner
    • 1
  • Yesim Erbil
    • 2
  • Halim Issever
    • 3
  • Mustafa Peskersoy
    • 1
  1. 1.Department of General SurgeryIzmir Ataturk Training and Research HospitalBasinsitesi, IzmirTurkey
  2. 2.Department of General SurgeryIstanbul University Medical FacultyIstanbulTurkey
  3. 3.Department of Public HealthIstanbul University Medical FacultyIstanbulTurkey

Personalised recommendations