2020
DOI: 10.3389/fonc.2020.01075
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Incidence and Risk Factors of Postoperative Bleeding in Patients Undergoing Total Thyroidectomy

Abstract: Purpose: Our goal was to analyze postoperative bleeding in patients undergoing total thyroidectomy and to explore the possible risk factors. Materials and Methods: Patients undergoing total thyroidectomy were retrospectively enrolled, and the main study outcomes were postoperative bleeding and 30-day mortality. Univariate and multivariate analyses were used to determine the independent risk factors for postoperative bleeding. Results: A total of 31,706… Show more

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Cited by 11 publications
(6 citation statements)
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“…Postoperative hemorrhage is the major severe complication of thyroid surgery that usually occurs within 24 h after surgery (15), which could be fatal considering the rich blood supply and trachea-ahead location of the thyroid. Postoperative hemorrhage after ETBBA is rare, with an incidence rate of 0.32-0.724% (14,15), which is similar to COT (0.43-4.39%) (20,21). The drainage tube was found to be ineffective in preventing postoperative bleeding.…”
Section: Discussionmentioning
confidence: 95%
“…Postoperative hemorrhage is the major severe complication of thyroid surgery that usually occurs within 24 h after surgery (15), which could be fatal considering the rich blood supply and trachea-ahead location of the thyroid. Postoperative hemorrhage after ETBBA is rare, with an incidence rate of 0.32-0.724% (14,15), which is similar to COT (0.43-4.39%) (20,21). The drainage tube was found to be ineffective in preventing postoperative bleeding.…”
Section: Discussionmentioning
confidence: 95%
“…Durante los primeros 3 años (2011-2014) la neuromonitorización se realizaba en casos seleccionados (grandes bocios cervicales, extensión retroesternal, cirugía oncológica ganglionar asociada, cirugía de revisión y parálisis laríngea contralateral). A partir del 2014 Ediciones Universidad de Salamanca / [ 4 ] Rev. ORL, 2024, 15, e31749, 1-8 [Publicación continua] la NMIO se realizó de forma sistemática en todos los pacientes.…”
Section: Materials Y Métodounclassified
“…ORL, 2024, 15, e31749, 1-8 [Publicación continua] sangrantes. El sangrado arterial es el más común, teóricamente la arteria más frecuentemente afectada es la tiroidea superior [4], no obstante, suele ser bastante frecuente el sangrado en sábana sobre todo a nivel del lecho recurrencial. Es excepcional el tratamiento conservador, únicamente en hematomas superficiales [5].…”
Section: Introductionunclassified
“…Specifically, a case report from the Nippon Medical School in Tokyo described haemophilia A, which showed values of the coagulation determinants PT or aPTT in the normal range. This demonstrates the need to ask during the taking of a history and make a note of any family members with chronic coagulation diseases [123,124,[127][128][129][130][131][132][133]. The risk factors are combined and shown in Table 4.…”
Section: Risk Groupsmentioning
confidence: 99%
“…However, in highly specialised centres, the rate does not exceed 1% of all operations. Haemorrhages originate from the subcutaneous tissue, subglenoid muscles, upper pole, common jugular vein, tissue adjacent to the retrograde laryngeal nerve, thyroid stump and trachea [122][123][124][125][126][127][128][129].…”
Section: Introductionmentioning
confidence: 99%