Archives of Plastic Surgery

Korean Society of Plastic and Reconstructive Surgeons (대한성형외과학회)
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Personal Factors that Affect the Satisfaction of Female Patients Undergoing Esthetic Suture after Typical Thyroidectomy

  • Kim, Hyo Young (Department of Plastic Surgery, Kosin University Gospel Hospital, Kosin University School of Medicine) ;
  • Kim, Jung Won (Department of Occupational and Environment Medicine, Kosin University Gospel Hospital, Kosin University School of Medicine) ;
  • Park, Jin Hyung (Department of Plastic Surgery, Kosin University Gospel Hospital, Kosin University School of Medicine) ;
  • Kim, Jung Hun (Department of Surgery, Kosin University Gospel Hospital, Kosin University School of Medicine) ;
  • Han, Yea Sik (Department of Plastic Surgery, Kosin University Gospel Hospital, Kosin University School of Medicine)
  • Received : 2013.03.13
  • Accepted : 2013.06.04
  • Published : 2013.07.15
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Abstract

Background In esthetic surgery, understanding the factors that influence patient satisfaction is important for successful practice. We hypothesize that the factors that influence patient satisfaction include not only aesthetic and functional outcomes, but also personal factors such as the level of familiarity with factors affecting wound healing and expectations regarding aesthetic outcome. Methods One hundred patients who underwent esthetic closure after thyroidectomy were included in this study. In order to evaluate the individual characteristics of the patients, a preoperative survey was administered to the patients. We estimated the patient satisfaction six months postoperatively and assessed the aesthetic and functional outcomes using the Patient and Observer Scar Assessment Scale. Results According to the results of correlation analysis, level of familiarity with wound healing factors had a positive correlation with satisfaction. High expectations, pain, itching, and high observer scale score had negative correlations with satisfaction. The factors that were correlated with satisfaction were included in the multiple regression analysis. Level of familiarity with wound healing factors was found to have a positive relationship with satisfaction, while itching and observer scale were found to have a negative relationship with satisfaction. After excluding 10 patients who had hypertrophic scars, only level of familiarity with wound healing factors and expectations affected satisfaction. Conclusions The level of familiarity with factors affecting wound healing and expectations were found to independently affect satisfaction. Improving patients' level of familiarity with wound healing factors and reducing their expectations by providing suitable preoperative education has the potential to improve patient satisfaction.

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References

  1. Stewart MG, Porter JP. Outcomes research and facial plastic surgery. Facial Plast Surg 2002;18:73-6. https://doi.org/10.1055/s-2002-32196
  2. Alsarraf R, Larrabee WF Jr, Anderson S, et al. Measuring cosmetic facial plastic surgery outcomes: a pilot study. Arch Facial Plast Surg 2001;3:198-201. https://doi.org/10.1001/archfaci.3.3.198
  3. Reich J. Factors influencing patient satisfaction with the results of esthetic plastic surgery. Plast Reconstr Surg 1975;55:5-13. https://doi.org/10.1097/00006534-197501000-00002
  4. Clapham PJ, Pushman AG, Chung KC. A systematic review of applying patient satisfaction outcomes in plastic surgery. Plast Reconstr Surg 2010;125:1826-33. https://doi.org/10.1097/PRS.0b013e3181d51276
  5. Broughton G 2nd, Janis JE, Attinger CE. Wound healing: an overview. Plast Reconstr Surg 2006;117:1e-S-32e-S.
  6. Ware JE Jr, Snyder MK, Wright WR, et al. Defining and measuring patient satisfaction with medical care. Eval Program Plann 1983;6:247-63. https://doi.org/10.1016/0149-7189(83)90005-8
  7. Chung KC, Hamill JB, Kim HM, et al. Predictors of patient satisfaction in an outpatient plastic surgery clinic. Ann Plast Surg 1999;42:56-60. https://doi.org/10.1097/00000637-199901000-00010
  8. Olson RE, Laskin DM. Expectations of patients from orthognathic surgery. J Oral Surg 1980;38:283-5.
  9. Kim JH, Sung JY, Kim YH, et al. Risk factors for hypertrophic surgical scar development after thyroidectomy. Wound Repair Regen 2012;20:304-10. https://doi.org/10.1111/j.1524-475X.2012.00784.x
  10. Mira JJ, Tomas O, Virtudes-Perez M, et al. Predictors of patient satisfaction in surgery. Surgery 2009;145:536-41. https://doi.org/10.1016/j.surg.2009.01.012
  11. Ying AK, Huh W, Bottomley S, et al. Thyroid cancer in young adults. Semin Oncol 2009;36:258-74. https://doi.org/10.1053/j.seminoncol.2009.03.009
  12. Ridgway DM, Mahmood F, Moore L, et al. A blinded, randomised, controlled trial of stapled versus tissue glue closure of neck surgery incisions. Ann R Coll Surg Engl 2007;89:242-6.
  13. Selvadurai D, Wildin C, Treharne G, et al. Randomised trial of subcuticular suture versus metal clips for wound closure after thyroid and parathyroid surgery. Ann R Coll Surg Engl 1997;79:303-6.
  14. Amin M, Glynn F, Timon C. Randomized trial of tissue adhesive vs staples in thyroidectomy integrating patient satisfaction and Manchester score. Otolaryngol Head Neck Surg 2009;140:703-8. https://doi.org/10.1016/j.otohns.2009.01.003
  15. Draaijers LJ, Tempelman FR, Botman YA, et al. The patient and observer scar assessment scale: a reliable and feasible tool for scar evaluation. Plast Reconstr Surg 2004;113:1960-5. https://doi.org/10.1097/01.PRS.0000122207.28773.56
  16. van de Kar AL, Corion LU, Smeulders MJ, et al. Reliable and feasible evaluation of linear scars by the Patient and Observer Scar Assessment Scale. Plast Reconstr Surg 2005;116:514-22. https://doi.org/10.1097/01.prs.0000172982.43599.d6
  17. Powers PS, Sarkar S, Goldgof DB, et al. Scar assessment: current problems and future solutions. J Burn Care Rehabil 1999;20:54-60. https://doi.org/10.1097/00004630-199901001-00011

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