With the Advance in the Techniques of Hemostasis, Is it Necessary to Use Drain Routinely in Thyroid Surgery? A Comparative Study
Journal Title: Journal of Surgery Research and Practice - Year 2021, Vol 2, Issue 2
Abstract
Prophylactic drainage after thyroid surgery, many surgeons have routinely used it to prevent post thyroidectomy cervical hematoma. With advances in surgical methods of hemostasis, the rate of post thyroidectomy cervical hematoma has decreased significantly to about 0.1%. The aim of this study is to evaluate the outcome of thyroidectomy with drain vs no drain, while we achieved the hemostasis by an Ultrasonic scalpel in all cases. We conducted this study in AlShiffa general hospital, Basrah, Iraq, during the period from January 2016 to January 2018. Eighty patients with different thyroid pathologies and candidates for total or near total thyroidectomy have been included; forty patients were undergoing thyroid surgery with drain in the period during 2016. We compared the results with results of a selected similar characteristics group of forty patients that undergo thyroid surgery with no drain in the period during 2017. The results of this study show that, the patients with no drain reported a significant shorter mean duration of surgery in comparison to patients with drain (53.13±14.16 and 60.49±7.78 minutes) respectively, P-value = 0.01. In addition, patients with no drain also reported a significant shorter mean duration of hospital stays in comparison to patients with drain (24±4.16 and 48±9.29 hours). Respectively, P-value = 0.001. Most patients with no drain reported mild level of pain score compared to patients with drain, 32(80%) and 11(27.5%) respectively, with significant statistical difference: P-value = 0.001. Three patients (7.5%) developed seroma in patients with drain, while in patients with no drain, the seroma was reported in 4 patients (10%) with no significant statistical difference between 2 groups (Pvalue = 692). No cases of cervical hematoma, postoperative bleeding, wound infection or mortality were reported during this study. In conclusion, using advanced energy devices like ultrasonic scalpel for hemostasis in thyroid surgery, the drain should not be used routinely. The routine drainage may increase postoperative pain, prolong duration of surgery and postoperative hospital stay.
Authors and Affiliations
Husham Salman Abdulkareem, Zainab Taher Ibrahim, Muntadher Muhamed Jawad, Sadq Ghaleb Kadem
Keywords
Related Articles
- EP ID EP698907
- DOI http://dx.doi.org/10.46889/JSRP.2021.2202
- Views 109
- Downloads 0
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