Cosmetic effect of the wounds healing after surgical treatment of goiter
Objective. Estimation of the postoperative wound healing and cosmetic result of operative treatment in patients with various kinds of goiter.
Маterials and methods. Results of surgical treatment of 2376 patients, suffering various forms of goiter, were analyzed. From 1973 tо 1999 yr 1690 patients were operated (first period of investigation), and from 2000 tо 2018 yr - 686 patients (second period of investigation). There were estimated the character of the wound healing while stationary treatment of patients, and a definite cosmetic effect during 6 - 12 mo after performance of operative intervention.
Results. The features of operative technique, needed for achievement of fine cosmetic effect, were determined. There were proposed and introduced the anatomically oriented accesses, original procedures for the thyroid gland (THG) exposition, draining and closure of the wound after total or partial resection of THG for guaranteeing of its noncomplicated healing and favorable definite cosmetic result.
Conclusion. Character of surgical approach depends on anatomical data and demands for cosmetic surgery. Еxtrafascial procedure of partial or total resection of THG enhances the operation radicalism, promotes hemostasis and noncomplicated healing of the wound. The access, proposed by the authors, meets all needs of surgical treatment of this pathology.
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