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Short-stay hospitalisation for benign thyroid surgery: a prospective study

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Abstract

We report our prospective experience of short-stay hospitalisation for benign thyroid surgery. Post-operative outcome, complication rate and duration of hospitalisation were evaluated for 200 similar patients with bilateral multi-nodular goitres treated surgically by total thyroidectomy. All subjects gave written informed consent. A short-stay regimen, with discharge within 24 h of admission, was possible in 92.5 %. Fourteen (7 %) were discharged on the second post-operative day and one on the fourth post-operative day. Causes of the 15 delayed discharges beyond 24 h were 11 hypocalcaemia (5.5 %), 3 heamatoma (1.5 %) and 1 dysphonia (0.5 %). All compressive haematomata were treated by urgent reoperation. No mortality occurred. None required tracheostomies. Transient complications were diagnosed in 36 cases: 25 with hypocalcaemia and 11 with recurrent laryngeal nerve injuries. Permanent complications were observed in three patients: two with hypoparathyroidism and one with nerve damage. All patients were carefully counselled about potential thyroid surgery complications and a 24-h emergency-contact number was provided. Short-stay hospitalisation represents safe and cost-saving surgical management for benign thyroid surgery.

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Acknowledgments

For statistical analysis of the data, we wish to thank Mr. Lorenzo De Meo Ph.D., University of Messina.

Conflict of interest

There was no grant support and no conflict of interest exists to the submitted manuscript.

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Authors and Affiliations

  1. Department of Human Pathology, University Hospital of Messina, Via Consolare Valeria, 1, 98125, Messina, Italy

    Fausto Fama’, Cecile Linard, Rosalia Patti, Miles G. Berry & Maria Gioffre’-Florio

  2. Department of General, Endocrine and Thoracic Surgery, Regional Hospital of Orleans, 14, Avenue de l’Hôpital, 45 067, Orléans (cedex 2), France

    Arnaud Piquard & Olivier Saint-Marc

  3. Complesso MITO, Residenza Ginestre F/2, 98151, Messina, Italy

    Fausto Fama’

Authors
  1. Fausto Fama’
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  2. Cecile Linard
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  3. Rosalia Patti
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  4. Miles G. Berry
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  5. Maria Gioffre’-Florio
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  6. Arnaud Piquard
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  7. Olivier Saint-Marc
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Correspondence to Fausto Fama’.

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Fama’, F., Linard, C., Patti, R. et al. Short-stay hospitalisation for benign thyroid surgery: a prospective study. Eur Arch Otorhinolaryngol 270, 301–304 (2013). https://doi.org/10.1007/s00405-012-2071-y

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  • DOI: https://doi.org/10.1007/s00405-012-2071-y

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