- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT00400465
Is the Routine Pressure Dressing After Thyroidectomy Necessary?
Is the Routine Pressure Dressing After Thyroidectomy Necessary? A Prospective Randomized Controlled Study
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.
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
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.
Study Type
Enrollment (Actual)
Phase
- Phase 4
Contacts and Locations
Study Locations
-
-
Khonkaen
-
Muang, Khonkaen, Thailand, 40000
- Deapartment of Otolaryngology, Srinagarind Hospital, Khonkaen University
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Child
- Adult
- Older Adult
Accepts Healthy Volunteers
Genders Eligible for Study
Description
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
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
|
Active Comparator: Control group
Pressure dressing
|
Pressure dressing
|
|
Experimental: Experimental group
Normal dressing
|
Normal dressing
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
amount of fluids collected in the operative bed by ultrasonography
Time Frame: participants will be followed for the duration of hospital stay, an expected average of 4 days
|
participants will be followed for the duration of hospital stay, an expected average of 4 days
|
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Days retained drains
Time Frame: participants will be followed for the duration of hospital stay, an expected average of 4 days
|
participants will be followed for the duration of hospital stay, an expected average of 4 days
|
|
days of hospital stay
Time Frame: participants will be followed for the duration of hospital stay, an expected average of 4 days
|
participants will be followed for the duration of hospital stay, an expected average of 4 days
|
|
complication (bruise,bleeding,wound dehiscence)
Time Frame: participants will be followed for the duration of hospital stay, an expected average of 4 days
|
participants will be followed for the duration of hospital stay, an expected average of 4 days
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Patorn Piromchai, MD, KhonKaen university
Publications and helpful links
General Publications
- FALCAO P. [Use of compensated pressure dressing in thyroid surgery]. Rev Paul Med. 1951 Jul;39(1):64-6. No abstract available. Undetermined Language.
- FALCAO P. [Use of a compressive-compensed dressing in thyroid surgery]. Rev Bras Otorrinolaringol. 1951 May-Jun;19(3A):88-90. No abstract available. Undetermined Language.
- Abbas G, Dubner S, Heller KS. Re-operation for bleeding after thyroidectomy and parathyroidectomy. Head Neck. 2001 Jul;23(7):544-6. doi: 10.1002/hed.1076.
- Palestini N, Tulletti V, Cestino L, Durando R, Freddi M, Sisti G, Robecchi A. [Post-thyroidectomy cervical hematoma]. Minerva Chir. 2005 Feb;60(1):37-46. Italian.
- Cichon S, Anielski R, Orlicki P, Krzesiwo-Stempak K. [Post-thyroidectomy hemorrhage]. Przegl Lek. 2002;59(7):489-92. Polish.
- Agarwal A, Mishra SK. Post-thyroidectomy haemorrhage: an analysis of critical factors in successful management. J Indian Med Assoc. 1997 Jul;95(7):418-9, 433.
- Shaha AR, Jaffe BM. Practical management of post-thyroidectomy hematoma. J Surg Oncol. 1994 Dec;57(4):235-8. doi: 10.1002/jso.2930570406.
- Piromchai P, Vatanasapt P, Reechaipichitkul W, Phuttharak W, Thanaviratananich S. Is the routine pressure dressing after thyroidectomy necessary? A prospective randomized controlled study. BMC Ear Nose Throat Disord. 2008 Mar 20;8:1. doi: 10.1186/1472-6815-8-1.
Study record dates
Study Major Dates
Study Start
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Estimate)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- HE49-1009
- ISRCTN52660978 (Registry Identifier: ISRCTN Registry)
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