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Comparison of quality of life between patients undergoing trans-oral endoscopic thyroid surgery and conventional open surgery.

ABSTRACT: BACKGROUND:Trans-oral endoscopic thyroidectomy allows obviating scar of the neck that expects to gain quality of life (QOL). However, the benefit of the QOL from this technique has not been adequately investigated, therefore, this study compared the QOL outcomes, including cosmetic outcomes, between thyroidectomy by trans-oral endoscopy and conventional open surgery. METHODS:A study was conducted from January 30, 2017 to November 10, 2018. Thirty-two and 38 patients underwent trans-oral endoscopic thyroid surgery and conventional open surgery, respectively. Their quality of life was evaluated at 2, 6, and 12?weeks postoperatively using a thyroid surgery-specific questionnaire and a 36-item short-form questionnaire. RESULTS:Trans-oral endoscopic group, patients were younger and presented with smaller thyroid nodules (p?

SUBMITTER: Kasemsiri P

PROVIDER: S-EPMC6988280 | biostudies-literature | 2020 Jan

REPOSITORIES: biostudies-literature

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Comparison of quality of life between patients undergoing trans-oral endoscopic thyroid surgery and conventional open surgery.

Kasemsiri Pornthep P Trakulkajornsak Srongpaun S Bamroong Piyapong P Mahawerawat Kanokkarn K Piromchai Patorn P Ratanaanekchai Teeraporn T

BMC surgery 20200129 1

<h4>Background</h4>Trans-oral endoscopic thyroidectomy allows obviating scar of the neck that expects to gain quality of life (QOL). However, the benefit of the QOL from this technique has not been adequately investigated, therefore, this study compared the QOL outcomes, including cosmetic outcomes, between thyroidectomy by trans-oral endoscopy and conventional open surgery.<h4>Methods</h4>A study was conducted from January 30, 2017 to November 10, 2018. Thirty-two and 38 patients underwent tran ...[more]

PMID: 31996201

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Project description:BackgroundThe cable pin system is an effective device for fixation of transverse patella fractures. However, whether this device provides superior results using a minimally invasive technique instead of conventional open surgery using the K wire tension band method is unclear.Questions/purposesWe asked whether a minimally invasive technique would be associated with (1) increased operative time; (2) reduced postoperative pain; (3) faster recovery of ROM; (4) higher knee scores; and (5) reduced complications.MethodsForty patients with displaced transverse fractures of the patella participated in this prospective, randomized, controlled trial. Twenty of these patients underwent a minimally invasive technique and the others had conventional open surgery using K wires. Some data for six of the 20 patients who underwent the minimally invasive technique were published in an earlier prospective, observational trial. At postoperative intervals of 1, 3, 6, 12, and 24 months, pain was measured by VAS scores, active flexion and extension of the knee were measured in degrees by goniometry, and knee function was evaluated using the Böstman clinical grading scale.ResultsOperative time was longer in the minimally invasive surgery group (54.3 ± 9.8 minutes versus 48.5 ± 6.1 minutes). Pain scores were better (lower) in the minimally invasive surgery group at 1 and 3 months but not at 6 months. Early flexion, ultimate flexion, and knee scores from 3 to 24 months, likewise, were better in the minimally invasive surgery group. Complications mostly related to symptomatic hardware were less common in the minimally invasive surgery group.ConclusionsThe minimally invasive technique is superior to conventional open surgery using K wires in terms of less early postoperative pain, better mobility angles of the injured knee, higher functional score of the injured knee, and decreased incidence of complications.Level of evidenceLevel I, therapeutic study. See the Guidelines for Authors for a complete description of levels of evidence.

Dataset Information

Comparison of quality of life between patients undergoing trans-oral endoscopic thyroid surgery and conventional open surgery.

Publications

Comparison of quality of life between patients undergoing trans-oral endoscopic thyroid surgery and conventional open surgery.

Similar Datasets

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