Thyroid Uncomplicated Surgery with Lack Placement of Drains. A Retrospective Analysis.

Complications Drain use Thyroid surgery

Journal

Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India
ISSN: 2231-3796
Titre abrégé: Indian J Otolaryngol Head Neck Surg
Pays: India
ID NLM: 9422551

Informations de publication

Date de publication:
Oct 2024
Historique:
received: 10 04 2024
accepted: 19 05 2024
pmc-release: 01 10 2025
medline: 8 10 2024
pubmed: 8 10 2024
entrez: 8 10 2024
Statut: ppublish

Résumé

Thyroid drains after thyroid surgery are often used despite evidence. The aim of this retrospective study was to determine the post-operative complication rates following thyroid uncomplicate surgery without drain. The medical records of two hundred and thirty-nine patients who undergone thyroid surgery without and with drain were reviewed. The rate of post-operative either complications and pain were evaluated. The distribution of the operations performed were similar in two groups, in no-drain group (group A) there were total thyroidectomy 68.7% and lobectomy 31.3% while in drain group (group B) the total thyroidectomy were 70.8% and the lobectomy were 29.2%, this without statistical significant difference. Postoperative complications that occurred included seromas, hematoma and wound infections were without significantly differences. Postoperative pain was significantly lower in group A than in group B at two timepoint. The mean hospital stay was significantly shorter in the non-drained group. The no-drain uncomplicated thyroid surgery was safe and didn't increase a rates of post-operative complications. In addition, we achieved significant reduction of postoperative pain, hospital stay and overall costs.

Sections du résumé

BACKGROUND BACKGROUND
Thyroid drains after thyroid surgery are often used despite evidence. The aim of this retrospective study was to determine the post-operative complication rates following thyroid uncomplicate surgery without drain.
MATERIAL AND METHODS METHODS
The medical records of two hundred and thirty-nine patients who undergone thyroid surgery without and with drain were reviewed. The rate of post-operative either complications and pain were evaluated.
RESULTS RESULTS
The distribution of the operations performed were similar in two groups, in no-drain group (group A) there were total thyroidectomy 68.7% and lobectomy 31.3% while in drain group (group B) the total thyroidectomy were 70.8% and the lobectomy were 29.2%, this without statistical significant difference. Postoperative complications that occurred included seromas, hematoma and wound infections were without significantly differences. Postoperative pain was significantly lower in group A than in group B at two timepoint. The mean hospital stay was significantly shorter in the non-drained group.
CONCLUSIONS CONCLUSIONS
The no-drain uncomplicated thyroid surgery was safe and didn't increase a rates of post-operative complications. In addition, we achieved significant reduction of postoperative pain, hospital stay and overall costs.

Identifiants

pubmed: 39376268
doi: 10.1007/s12070-024-04773-x
pii: 4773
pmc: PMC11455772
doi:

Types de publication

Journal Article

Langues

eng

Pagination

4937-4941

Informations de copyright

© Association of Otolaryngologists of India 2024. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.

Déclaration de conflit d'intérêts

Conflict of interestThe authors have no conflicts of interest to declare.

Auteurs

Andrea Sanna (A)

Department of Surgery, Department of Surgery, Aulss 5 Polesana, Hospitals, Adria-Rovigo, Italy.

G Buzzi (G)

Department of Surgery, Department of Surgery, Aulss 5 Polesana, Hospitals, Adria-Rovigo, Italy.

D Prando (D)

Department of Surgery, Department of Surgery, Aulss 5 Polesana, Hospitals, Adria-Rovigo, Italy.

B Mantovan (B)

Department of Surgery, Department of Surgery, Aulss 5 Polesana, Hospitals, Adria-Rovigo, Italy.

F Sanna (F)

Department of Statistical and Financial Sciences, Bologna University, Rimini, Italy.

F Bagolini (F)

Department of Surgery, Department of Surgery, Aulss 5 Polesana, Hospitals, Adria-Rovigo, Italy.

M De Luca (M)

Department of Surgery, Department of Surgery, Aulss 5 Polesana, Hospitals, Adria-Rovigo, Italy.

Classifications MeSH