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Evaluation of postoperative drainage with application of platelet‐rich and platelet‐poor plasma following hemithyroidectomy: A randomized controlled clinical trial
Author(s) -
Yoo John,
Roth Kathryn,
Hughes Brian,
Fung Kevin,
Franklin Jason,
Lampe Howard,
Pietrzak William S.
Publication year - 2008
Publication title -
head and neck
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.012
H-Index - 127
eISSN - 1097-0347
pISSN - 1043-3074
DOI - 10.1002/hed.20900
Subject(s) - medicine , platelet rich plasma , hemostasis , saline , analgesic , randomized controlled trial , surgery , platelet , wound healing , anesthesia
Background. Platelet‐rich plasma (PRP) and platelet‐poor plasma (PPP) have been used to improve hemostasis and wound healing after surgery; however, randomized controlled trials proving their efficacy are lacking. Methods. Hemithyroidectomy was performed on 52 patients. Autologous PRP and PPP were applied during wound closure in the treatment group, while saline was applied in the controls. Outcome measures were postoperative drainage, pain, analgesic use, and length of hospital stay. Results. The 24‐hour cumulative drainage was reduced by 29.3% in the treatment group (44.9 mL vs 63.5 mL, p = .039). The treatment group required less analgesic medication despite similar pain scores; however, the difference was not significant. There was a trend toward decreased length of stay for thePRP/PPP group ( p = .059). Conclusions. Hemithyroidectomy served as a stringent test to evaluate the wound‐healing capacity of platelet‐rich and platelet‐poor plasma. This study provides evidence that PRP and PPP reduced postoperative drainage in soft‐tissue surgery. © 2008 Wiley Periodicals, Inc. Head Neck, 2008