Prevention and management of skin burn in endoscopic thyroidectomy via upper anterior thoracic approach / 中华全科医师杂志

ABSTRACT

Total 268 patients underwent endoscopic thyroidectomy via upper anterior thoracic approach in Wenling First People's Hospital from June 2005 to July 2015, and skin burn occurred in 21 cases(7.8%).The causes of skin burns were shallower level of built space in 9 cases(43%), mismanagement for skin bleeding in 11 cases(52%),and improper separation of sternocleidomastoid region in 1 case(5%).After management 12 cases of subcutaneous ecchymosis or blisters(57%)were healed without pigmentation, 3 cases of skin necrosis(14%)were healed with scars, 4 cases of burned skin rupture treated with intradermal suture(19%)were healed by first intension and with minor scars,2 cases of burned skin rupture treated with catheter drainage(10%)were healed with obvious scars.The results show that correct level of puncture and proper management of skin bleeding can prevent skin burn, and proper treatments of skin burn can reduce the skin scars.