The use of drains in thyroid surgery

Alexiou, Konstantinos; Konstantinidou, Eleni; Papagoras, Dimitris

doi:10.1007/s13126-015-0191-8

Cited by 6 publications

(9 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Accumulating studies have shown that insertion of a drainage tube did not benefit patients after thyroid surgery. [ 5 – 9 ] Several studies demonstrated that drainage did not reduce hematomas. And in case of severe bleeding, wound drainage may be obstructed by clots.…”

Section: Introductionmentioning

confidence: 99%

“…Several systematic reviews explored this issue in patients with benign thyroid diseases. [ 6 , 9 , 11 ] The Cochrane review, published in 2007, concluded that no clear evidence showed drainage can bring benefits to patients’ outcome, inversely it is associated with longer hospitalization. [ 6 ] One systematic review conducted in 2014 stated that routine drainage of thyroid bed may not be necessary as draining resulted in higher morbidity and prolonged the hospital stay.…”

Section: Introductionmentioning

confidence: 99%

“…[ 11 ] A more recent systematic review did not confer benefit of drainage either. [ 9 ] However, evidence mentioned above did not involve patients with thyroid malignancy. Surgery for thyroid malignancy usually requires central or lateral lymph node dissection, leading to larger dead spaces.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

The effect of no drainage in patients who underwent thyroidectomy with neck dissection

Li¹,

Chen²,

Tao³

et al. 2017

Medicine

View full text Add to dashboard Cite

show abstract

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

The effect of no drainage in patients who underwent thyroidectomy with neck dissection

Li¹,

Chen²,

Tao³

et al. 2017

Medicine

View full text Add to dashboard Cite

show abstract

“…3,4 Despite improvements in surgical techniques, many patients who undergo a thyroidectomy develop postoperative complications, including haemorrhage (0.3-6.5%), haematoma formation (1-1.2%), recurrent laryngeal nerve injuries (0.5-4.4%) and hypocalcaemia (3.1-11%). [1][2][3][5][6][7][8][9][10] Many surgeons insert a drain post-thyroidectomy in order to prevent haematomas, alert surgeons to early postoperative bleeding or in cases of large dead spaces where the chance of seroma formation is high. 6,[11][12][13] However, the findings of multiple studies and randomised clinical trials have indicated against the routine use of drains.…”

mentioning

confidence: 99%

“…[1][2][3][5][6][7][8][9][10] Many surgeons insert a drain post-thyroidectomy in order to prevent haematomas, alert surgeons to early postoperative bleeding or in cases of large dead spaces where the chance of seroma formation is high. 6,[11][12][13] However, the findings of multiple studies and randomised clinical trials have indicated against the routine use of drains. 8,14,15 Even though the insertion of a postoperative drain has proven significantly beneficial for patients suffering from bleeding disorders, research has shown that postoperative drain placement can have a negative impact on patients and lead to scarring, pain, increased susceptibility to infection and prolonged hospital stay.…”

mentioning

confidence: 99%

Comparison of Postoperative Drain Insertion versus No Drain Insertion in Thyroidectomies: Retrospective case-control study from the Sultan Qaboos University Hospital, Muscat, Oman

Al-Habsi

Al-Sulaimani

Taqi

et al. 2016

SQUMJ

View full text Add to dashboard Cite

abstract:Objectives: A thyroidectomy is a frequently performed surgical procedure which can result in lifethreatening complications. The insertion of a drain after a thyroidectomy has been suggested to prevent such complications. This study aimed to evaluate the use of surgical drains following thyroidectomies in relation to postoperative complications and mass sizes. Methods: This retrospective case-control study included all thyroidectomies conducted at the Sultan Qaboos University Hospital, Muscat, Oman, from January 2011 to December 2013. Length of hospital stay, readmission, postoperative complications and mass size were evaluated. Results: During the study period, 250 surgeries were carried out on 241 patients. The majority of patients were female (87.2%). Drains were inserted postoperatively after 202 surgeries (80.8%) compared to 48 surgeries (19.2%) without drains. A total of 32 surgeries (12.8%) were conducted on patients with thyroid masses <1 cm, 138 (55.2%) on those with masses between 1-4 cm and 80 (32.0%) on those with masses >4 cm. The association between drain use and mass size was not significant (P = 0.439). Although postoperative complications were more prevalent in patients with drains, the relationship between these factors was not significant (P >0.050). Length of hospital stay was significantly longer among patients with postoperative drains (P <0.010). Conclusion: The routine insertion of drains after thyroid surgeries was found to result in longer hospital stays and did not reduce rates of postthyroidectomy complications. Thyroid mass size should not be used as an indicator for the insertion of a drain after thyroidectomy.

show abstract

Same‐Day Discharge for Pediatric Hemithyroidectomy Patients: Evaluating Safety and Barriers to Discharge

July O'Brien,

Naveed,

Patel

et al. 2024

Otolaryngol.--head neck surg.

View full text Add to dashboard Cite

ObjectiveHemithyroidectomy is often performed in the pediatric population for indeterminate or benign thyroid nodules. Prior studies confirmed the safety of same‐day discharge for adults undergoing hemithyroidectomy or total thyroidectomy, but this has not been studied thoroughly in the pediatric population. Our goal was to determine differences in pediatric patients undergoing hemithyroidectomy who were admitted versus discharged for complications or factors to support same‐day discharge.Study DesignRetrospective cohort.SettingPediatric tertiary care hospital.MethodsThis was a retrospective study of pediatric patients (0‐18 years of age) undergoing hemithyroidectomy at a pediatric tertiary care hospital from 2003 to 2022. Perioperative variables and outcomes were gathered via manual chart review.ResultsOne hundred five pediatric patients who underwent hemithyroidectomy were identified. Ninety (86%) patients were admitted postoperatively, and 15 (14%) were discharged the same day. There were no differences in patient demographics, including age (P = 0.29) distance from the hospital (P = 0.08) or benign versus malignant pathology (P = 0.93). Surgical time in same‐day discharges was significantly shorter (P = 0.0001; 138.6 minutes, SD = 66.0) versus admitted patients (204.2 minutes, SD = 48.6) Hemostatic agents were used more in same‐day discharges at 53.3% versus 4.5% (P = 0.0001). Perioperative complications occurred in 2 (2.2%) admitted patients compared to none in the same‐day discharge (P = 1.0). There were no readmissions within 30 days for same‐day discharges.ConclusionIn pediatric patients undergoing uncomplicated hemithyroidectomy, same‐day discharge appears appropriate for those with shorter surgical times and intraoperative use of hemostatic agents with no readmissions or complications in those discharged the same day.

show abstract

The use of drains in thyroid surgery

Cited by 6 publications

References 14 publications

The effect of no drainage in patients who underwent thyroidectomy with neck dissection

The effect of no drainage in patients who underwent thyroidectomy with neck dissection

Comparison of Postoperative Drain Insertion versus No Drain Insertion in Thyroidectomies: Retrospective case-control study from the Sultan Qaboos University Hospital, Muscat, Oman

Same‐Day Discharge for Pediatric Hemithyroidectomy Patients: Evaluating Safety and Barriers to Discharge

Contact Info

Product

Resources

About