Comparison of Postoperative Drain Insertion versus No Drain Insertion in Thyroidectomies Retrospective case-control study from the Sultan Qaboos University Hospital, Muscat, Oman
Journal Title: Sultan Qaboos University Medical Journal - Year 2016, Vol 16, Issue 4
Abstract
Objectives: A thyroidectomy is a frequently performed surgical procedure which can result in lifethreatening complications. Te insertion of a drain after a thyroidectomy has been suggested to prevent such complications. Tis study aimed to evaluate the use of surgical drains following thyroidectomies in relation to postoperative complications and mass sizes. Methods: Tis 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. Te 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. Te association between drain use and mass size was not signifcant (P = 0.439). Although postoperative complications were more prevalent in patients with drains, the relationship between these factors was not signifcant (P >0.050). Length of hospital stay was signifcantly longer among patients with postoperative drains (P <0.010). Conclusion: Te routine insertion of drains after thyroid surgeries was found to result in longer hospital stays and did not reduce rates of postthyroidectomy complications. Tyroid mass size should not be used as an indicator for the insertion of a drain after thyroidectomy.
Authors and Affiliations
Asma S. Al-Habsi| Department of Surgery, College of Medicine & Health Sciences, Sultan Qaboos University, Muscat, Oman, Al-Anood K. Al-Sulaimani| Department of Surgery, College of Medicine & Health Sciences, Sultan Qaboos University, Muscat, Oman, Kadhim M. Taqi| General Surgery Residency Program, Oman Medical Specialty Board, Muscat, Oman, Hani A. Al-Qadhi| Department of Surgery, Sultan Qaboos University Hospital, Muscat, Oman
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