COMPARATIVE STUDY OF SUCTION DRAIN VERSUS NO SUCTION DRAIN AFTER THYROID SURGERY- A HOSPITAL BASED STUDY
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2019, Vol 6, Issue 19
Abstract
BACKGROUND The main complications of thyroid surgery include recurrent laryngeal nerve injury, hypocalcaemia, surgical site infection, haematoma and seroma formation. Post-operative seroma is a common complication. We wanted to study the effectiveness of negative suction drain in preventing seroma formation after thyroid surgery. METHODS The present study was a randomized study. Patients who were subjected to either total thyroidectomy or subtotal or hemithyroidectomy in SVS Medical College Hospital, Mahbubnagar during the study period of June 2016 to August 2018 were included. Cases were randomly allocated to either the no drainage (group 1) or the drainage (group 2) group. During the study period, 120 willing patients were included in the study. The volume of fluid collection in the operative bed, postoperative pain, complications, and length of hospital stay, were then recorded. Various presentations, complications and treatments were noted and finally followed up for minimum of 3 months. RESULTS Group 1 and group 2 were matched according to age, gender, thyroid volume, type of procedure performed, and histopathological diagnosis. After assessment by USG, no significant difference was found between the groups in the fluid collection of the thyroid bed, but the length of hospital stay was significantly reduced in group 1. Post-operative pain and discomfort was observed more in group 2 compared to group 1. CONCLUSIONS This study concludes that there is no significant advantage of suction drain after thyroid surgery routinely. However, suction drain can be considered in cases of large goitres where dead space is extensive and where difficult dissection with significant oozing of blood intra-operatively was encountered.
Authors and Affiliations
Ramana Reddy G. V. , Vijaya Bhaskar Reddy S. , Anurag Reddy P. , Harshavardhan Y. , Ravikiran B.
Keywords
Related Articles
- EP ID EP619796
- DOI 10.18410/jebmh/2019/292
- Views 80
- Downloads 0
POST-TRAUMATIC IRIS IMPLANTATION CYST
PRESENTATION OF CASE An 11-year-old female child came with the presenting complaints of intolerance to light in right eye since one month following a blunt trauma with mobile phone. She had no other systemic illness at p...
STUDY OF CLINICO- EPIDEMIOLOGICAL PROFILE OF PATIENTS ADMITTED WITH INFANTILE TREMOR SYNDROME (ITS) AND STATUS OF TRACE ELEMENTS (ZINC, COPPER) DEFICIENCY IN THEM
BACKGROUND Under nutrition is one of the major problems in the field of Paediatrics. The greatest risk of malnutrition is in the first two years of life. The effects of this early damage on health, brain development, int...
USE OF BACTERIAL LYSATES IN SUBJECTIVE IMPROVEMENT OF CLINICAL RESPONSE IN ALLERGIC RHINITIS PATIENTS
BACKGROUND Allergic rhinitis is known to be one of the most common chronic diseases in the world. In this study, we provide an overview of allergic rhinitis responding to immunostimulating agents. According to the concep...
DIAGNOSTIC ACCURACY OF SQUASH CYTOLOGY IN CENTRAL NERVOUS SYSTEM TUMOURS
BACKGROUND Intraoperative squash smear cytology is an important diagnostic tool; it guides the neurosurgeon during surgical resection; it also helps the surgeon to monitor and modify the approach to surgery. Hence prompt...
RECURRENT SQUAMOUS PAPILLOMA NASAL CAVITY WITH ORBITAL EXTENSION – A CASE REPORT
Inverted papillomas of nasal cavity are known to recur. They arise from the lateral wall of nose. The incidence of malignancy is around 10%. Squamous papillomas are also known as fungiform papillomas. Fungiform papilloma...