A PROSPECTIVE RANDOMISED STUDY ON POST-OPERATIVE DRAINS IN THYROID SURGERIES
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 40
Abstract
BACKGROUND Post-operative drains in thyroid surgery are commonly used to avoid haematomas. This study was undertaken to find out the routine placement of drains necessary in thyroid surgeries. This study was conducted in two groups of 50 patients each with and without drains and results compared. Both groups were homogeneous in all aspects. Aim- This prospective clinical trial was conducted to evaluate the routine use of drains after thyroidectomy (total and hemi) for benign thyroid disorders. MATERIALS AND METHODS A total of 50 patients of thyroidectomy were randomly chosen not to be drained from June 2014 to August 2015 in our institution, the Government Chengalpattu Medical College and Hospital. Outcomes including operating time, post-operative pain, hospital stay, complications, necessity for re-operation and satisfaction of patients were all assessed and compared with 50 randomly chosen patients to be drained. RESULTS There was no significant reduction in the operating time. The post-operative pain/ discomfort was found to be significantly low assessed by visual analogue scale. Four cases of seroma were seen, which were treated conservatively. No patient needed reoperation for any complication. The mean hospital stay was shorter, and the satisfaction of patients was significant. CONCLUSION The findings suggest that post-operative complications cannot be significantly prevented by routine use of drains. Furthermore, the use of drains may increase post-operative pain subsequently requiring analgesic, surgical site infection and prolong the hospital stay. In the light of these findings, the routine use of drains may be deemed not routinely necessary following thyroid surgeries.
Authors and Affiliations
Ramula Muthammal, Pandian Periyasamy
Keywords
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- EP ID EP548208
- DOI 10.14260/jemds/2018/968
- Views 83
- Downloads 0
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