A complication of thyroidectomy: Do not forget suture reaction

Abstract

Objective: In this study, we aimed to present patients who have developed suture reaction and were treated in our clinic following thyroidectomy operation. Material and Methods:Patients who had been treated for suture reaction following thyroidectomy between January 2012 and December 2014 were retrospectively evaluated. The patients were analyzed in terms of their age, gender, duration of the symptoms, type of previous operation and treatment modality. Results:Between January 2012 and December 2014, 559 thyroid/parathyroid operations were performed in our clinic. A total of 12 patients were admitted with suture reaction within this period thus yielding a suture reaction incidence of 2.1%. The mean age of these patients was 42±7.65 years, 75% of them were female while 25% of them were male. The types of previous operations were bilateral total thyroidectomy in 83.3%, lobectomy in 8.3% and near total thyroidectomy in 8.3% of the patients. The mean symptom duration was 7.2±4.3 (2-16) months. Two patients (16.7%) underwent a second surgical operation for suture reaction, while 10 patients (83.3%) were treated conservatively. None of the patients developed complications. Conclusion:One of the most common complications that develop after thyroidectomy is bleeding. Ligation must be performed in order to prevent this complication. As it is known, surgical ligation with sutures may cause tissue reaction. Sutures that are absorbable and have a low risk for reaction formation should be chosen if suturing is preferred.

Post‐thyroidectomy suture granuloma: A diagnosis on fine needle aspiration cytology

“…Suture granuloma, a benign granulomatous inflammatory condition, occurs in response to nonabsorbable suture material following thyroidectomy, the most common being silk . The majority of the granulomas occur within 2 years postoperatively; however, longer time intervals ranging from months to years have been reported, in keeping with the postoperative interval of 8 years in our first case.…”

“…A hypoechoic lesion with hyperechoic rail‐like lines and/or single line favor a suture granuloma. Nevertheless, hypoechoic echogenicity, microcalcification, blurred margin, irregular shape, and increased vascularity suggesting malignancy can also be observed in a suture granuloma . Whole body scanning and serum thyroglobulin levels were found to be less sensitive for tumor recurrence…”

Assessment of Post-operative Complications in Patients Undergoing Thyroid Surgery in a Tertiary Care Hospital in Eastern India

“…With advancements in treatment and surgeons’ expertise, post-operative morbidity and mortality rates are declining [ 5 ]. However, the major side effects of thyroid surgery can include persistent hypoparathyroidism, hypocalcemia, post-operative hemorrhage, and recurrent laryngeal nerve damage [ 6 , 7 ]. Some studies have investigated the risk factors of thyroidectomies, identifying factors such as age, sex, and thyroid disease type [ 8 , 9 ].…”

Incidence and Risk Factors of Post-Thyroidectomy Stridor

“…Thyroidectomy has become a safe procedure with low postoperative morbidity and mortality rates for experienced surgeons October 2023 ,Volume 25, Issue 1 ORIGINAL RESEARCH Published: 30 October 2023 Doi: 10.26505/DJM.25017240118 with a higher annual thyroidectomy volume due to newer medical developments and increased surgical experience [5]. Recurrent laryngeal nerve injury, permanent hypoparathyroidism, postoperative bleeding, and hypocalcemia are all serious postthyroidectomy complications [6,7]). Previous studies looked into the risk factors for thyroidectomy complications; age, gender, type of thyroid disease, lymph node dissection, and thyroid gland weight have all been identified as risk factors.…”