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Effect of Stapler versus Subcuticular Closure on Pain and Cosmetic Outcomes in Thyroidectomy: A Prospective Interventional Study |
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Shailesh Kannur, Aravind Bheemacharya Madhwacharya, Shivangouda Patil, Rohan Gharpure, Shrihari Venkatesh 1. Assistant Professor, Department of Surgery, Shri B. M. Patil Medical College, Vijayapur, Karnataka, India. 2. Assistant Professor, Department of Otolarynorhinology, Shri B. M. Patil Medical College, Vijayapur, Karnataka, India. 3. Associate Professor, Department of Surgery, Shri B. M. Patil Medical College, Vijayapur, Karnataka, India. 4. Resident, Department of Surgery, Shri B. M. Patil Medical College, Vijayapur, Karnataka, India. 5. Resident, Department of Surgery, Shri B. M. Patil Medical College, Vijayapur, Karnataka, India. |
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Correspondence Address : Shailesh Kannur, Bangaramma Sajjan Campus, Solapur Road, Vijayapura-586103, Karnataka, India. E-mail: shailesh.kannur@gmail.com |
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| ABSTRACT |  | ||||||
: Introduction: Wound closure following thyroidectomy significantly influences postoperative outcomes, including pain, complications and scar appearance. Stapler closure offers speed and consistency, while subcuticular sutures are often preferred for superior cosmetic results. Aim: To compare stapler and subcuticular suture techniques for wound closure in thyroidectomy with respect to operative time, postoperative pain, wound complications and cosmetic outcomes. Materials and Methods: This prospective interventional study was conducted in the Department of General Surgery at Shri B.M. Patil Medical College, Hospital and Research Centre, Vijayapur, Karnataka, India, from January 2023 to December 2023. A total of 100 patients undergoing elective thyroidectomy were randomised into two groups: Group A (stapler closure, n=50) and Group B (subcuticular suture closure, n=50). Sociodemographic and clinical data were recorded. Wound closure time, total operative time, postoperative pain at 24 and 48 hours, wound complications and cosmetic satisfaction at 14 days and one month were compared. Statistical analysis was performed using Statistical Package for the Social Sciences (SPSS) version 25.0, with t-tests and Chi-square tests applied as appropriate. Results: The mean age and gender distribution for both groups were recorded as follows: Group A (42.3 years, 18M/32F) and Group B (43.7 years, 20M/30F). Stapler closure significantly reduced wound closure time (5.2±1.1 min vs. 12.6±1.7 min, p <0.0001) and operative duration (p=0.0372). Postoperative pain was significantly lower in the stapler group at both 24 hours (p=0.0456) and 48 hours (p=0.0182). Complication rates were slightly lower in the stapler group, but the difference was not statistically significant. Cosmetic satisfaction was significantly higher in the suture group at both time points (p=0.0034, 0.0012). Conclusion: Stapler closure enhances surgical efficiency and provides early pain relief, whereas subcuticular sutures yield better cosmetic outcomes. Both techniques are safe and effective; the choice should be tailored to the surgical setting and patient preference. | |||||||
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| Keywords : Postoperative pain, Subcuticular sutures, Surgical staplers, Wound healing | |||||||
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DOI and Others :
DOI: 10.7860/IJARS/2025/80962.3071
Date of Submission: May 31, 2025 Date of Peer Review: Jun 21, 2025 Date of Acceptance: Oct 14, 2025 Date of Publishing: Nov 01, 2025 AUTHOR DECLARATION: • Financial or Other Competing Interests: None • Was Ethics Committee Approval obtained for this study? Yes • Was informed consent obtained from the subjects involved in the study? Yes • For any images presented appropriate consent has been obtained from the subjects. NA PLAGIARISM CHECKING METHODS: • Plagiarism X-checker: Jun 10, 2025 • Manual Googling: Oct 07, 2025 • iThenticate Software: Oct 13, 2025 (11%) ETYMOLOGY: Author Origin EMENDATIONS: 7 |
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