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Anti-adhesive Effect and Safety of Sodium Hyaluronate and Sodium Carboxymethyl Cellulose Solution in Thyroid Surgery

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Authors
Park, Won Seo; Chung, Yoo Seung; Lee, Kyu Eun; Kim, Hoon Yub; Koh, Suck Hwan; Youn, Yeo-Kyu; Choe, Jun-Ho
Issue Date
2010-01
Publisher
ELSEVIER SINGAPORE PTE LTD
Citation
ASIAN JOURNAL OF SURGERY; Vol.33 1; 25-30
Keywords
anti-adhesive agentspostoperative adhesionsodium hyaluronate carboxymethyl cellulosethyroidectomy
Abstract
OBJECTIVE: A number of researchers have suggested the use of sodium hyaluronate carboxymethyl cellulose (HA-CMC) membrane for preventing postoperative adhesion. This study evaluated the anti-adhesive effect and safety of a newly developed HA-CMC solution in thyroidectomy. METHODS: Seventy-four patients who underwent thyroidectomy were prospectively randomized. In the study group of 38 patients, 5 mL HA-CMC solution was applied to the operative field after thyroidectomy. The subjects were asked about adhesive symptoms using a four-item questionnaire at 2 weeks, 2 months and 6 months after surgery. In addition, three items on the appearance of neck wrinkles and scars were evaluated by a physician. Each item was scored from 0 to 10. RESULTS: The mean ( standard deviation) total adhesion score at each visit was 15.22 +/- 8.99, 10.42 +/- 8.41, and 7.24 +/- 5.83 for the control group and 19.29 +/- 9.71, 9.46 +/- 5.71, and 6.03 +/- 4.32 for the study group. Total adhesion scores for both groups decreased with time (p<0.001), but no significant differences were noted between the two groups (p>0.066). There were no complications related to the HA-CMC solution. CONCLUSION: The HA-CMC solution did not decrease subjective or objective postoperative adhesion in patients undergoing thyroid surgery, although it was biologically safe. [Asian J Surg 2010;33(425-30]
ISSN
1015-9584
Language
English
URI
http://hdl.handle.net/10371/77939
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College of Medicine/School of Medicine (의과대학/대학원)Surgery (외과학전공)Journal Papers (저널논문_외과학전공)
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