Randomized clinical trial of platysma muscle suture versus no suture for wound closure after thyroid surgery. BJS 2018; 105: 645-649.
Published: 26th March 2018
Authors: M. Senne, R. Zein, C. Falch, A. Kirschniak, A. Koenigsrainer, S. Müller et al.
Suturing the platysma muscle during wound closure after thyroid surgery is frequently described in the literature. There is no prospective evidence to support its use or benefit. The aim of this study was to evaluate how a platysma muscle suture influences initial postoperative pain following thyroid surgery.
Patients were assigned randomly to receive a platysma suture or no platysma suture in this prospective, patient‐blinded trial. The duration of follow‐up was 6 months. The primary endpoint was wound‐specific pain 24 h after thyroid resection. Secondary endpoints were intraoperative and perioperative analgesia requirement, postoperative pain and complications until postoperative day 14, and Patient and Observer Scar Assessment Score (POSAS) 6 months after surgery.
Forty‐one patients were randomized to each group. Visual analogue scale scores for wound‐specific pain were lower in patients without a platysma suture 24 h after surgery (mean(s.d.) 3·15(1·46)
Omitting the platysma muscle suture after thyroid surgery resulted in less wound‐specific pain initially, with no difference in postoperative wound complications or cosmetic results. Registration number: NCT02951000 (
You may also be interested in
Meta‐analysis of randomized clinical trials of early versus delayed cholecystectomy for mild gallstone pancreatitis.
Authors: N. Moody, A. Adiamah, F. Yanni, D. Gomez
Meta‐analysis of the role of colonoscopy after an episode of left‐sided acute diverticulitis. BJS 2019; 106: 988-997.
Authors: S. J. Rottier, S. T. Dijk, A. A. W. Geloven, W. H. Schreurs, W. A. Draaisma, W. A. Enst et al.
Authors: D. G. Jayne
Authors: M. G. Sarr
Authors: D. Nepogodiev, O. Omar, A. Bhangu
Meta‐analysis of routine calcium/vitamin D3 supplementation versus serum calcium level‐based strategy to prevent postoperative hypocalcaemia after thyroidectomy.
Authors: A. Sanabria, A. Rojas, J. Arevalo
Randomized clinical trial
Randomized clinical trial of open suture repair versus totally extraperitoneal repair for treatment of sportsman’s hernia. BJS 2019; 106: 837-844.
Authors: A. J. Sheen, A. Montgomery, T. Simon, I. Ilves, H. Paajanen
Randomized clinical trial
Randomized clinical trial comparing total extraperitoneal with Lichtenstein inguinal hernia repair (TEPLICH trial). BJS 2019; 106: 845-855.
Authors: N. Gutlic, A. Gutlic, U. Petersson, P. Rogmark, A. Montgomery
Authors: I. R. Daniels, N. J. Smart
Authors: A. J. Fowler, T. E. F. Abbott, J. Prowle, R. M. Pearse