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KMID : 0371320130840060321
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Journal of the Korean Surgical Society
2013 Volume.84 No. 6 p.321 ~ p.329
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Antiadhesive effect and safety of oxidized regenerated cellulose after thyroidectomy: a prospective, randomized controlled study
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Park Kyoung-Sik
Lee Kyu-Eun
Ku Do-Hoon
Kim Su-Jin
Park Won-Seo
Kim Hoon-Yub
Kwon Mi-Ra
Youn Yeo-Kyu
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Abstract
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Purpose : To evaluate the antiadhesive effects and safety of an oxidized regenerated cellulose (Interceed) after thyroidectomy. Methods : Seventy-six thyroidectomized patients were prospectively randomized into two groups with regard to the use of Interceed. We evaluated each group for their adhesive symptoms using four subjective and four objective items at the 2nd week, 3rd and 6th month after thyroidectomy. All patients were examined for vocal cord motility by indirect laryngoscope at each period. Results : Total adhesion scores at each postoperative follow-up period decreased with time, but were not significantly different in each group. The median score for swallowing discomfort for liquid was significantly lower in the Interceed group than in the control group 2 weeks after surgery. In addition, the severity of skin adhesion to the trachea was reduced in the Interceed group compared with the control group 6 months after surgery. During the study, there were no adverse effects or significant differences in postoperative complications between the groups. Conclusion : Interceed appeared to be safe and effective in improving neck discomfort at early postoperative periods and preventing skin adhesion to the trachea 6 months after thyroidectomy.
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KEYWORD
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Adhesion, Neck discomfort, Oxidized regenerated cellulose, Thyroidectomy
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