Abstract
Background
Although routine drainage of the thyroidectomy bed is not an evidenced-based practice, most surgeons still employ routine drainage with an effort to monitor postoperative bleeding. The aim of this study is present our experience on draining and not draining the thyroidectomy bed.
Materials and methods
Records of 1,066 patients who underwent thyroid surgery were evaluated retrospectively.
Results
The rates of the re-operations due to life-threatening postoperative hemorrhage and wound infections were higher in the drained group. The average postoperative hospital stay of the drained group was significantly longer than that of the non-drained group.
Conclusion
Routine drainage of the thyroidectomy bed is not effective in decreasing the rate of postoperative complications after thyroid surgery, and it causes a prolonged hospital stay and surgical site infection.
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References
Wihlborg O, Bergljung L, Martensson H (1988) To drain or not to drain in thyroid surgery. Arch Surg 123:40–41
Hurtado-Lopez LM, Lopez-Romero S, Rizzo-Fuentes C et al (2001) Selective use of drains in thyroid surgery. Head Neck 23:189–193
Peix JL, Teboul F, Feldman H, Massard JL (1992) Drainage after thyroidectomy: a randomized clinical trial. Int Surg 77:122–124
Schoretsanitis G, Melissas J, Sanidas E et al (1998) Does draining the neck affect morbidity following thyroid surgery? Am Surg 64:778–780
Ayyash K, Khammash M, Tibblin S (1991) Drain vs. no drain in primary thyroid and parathyroid surgery. Eur J Surg 157:113–114
Corsten M, Johnson S, Alherabi A (2005) Is suction drainage an effective means of preventing hematoma in thyroid surgery? A meta-analysis. J Otolaryngol 34:415–417
Pothier DD (2005) The use of drains following thyroid and parathyroid surgery: a meta-analysis. J Laryngol Otol 119:669–671
Shaha AR, Jaffe BM (1994) Practical management of post-thyroidectomy hematoma. J Surg Oncol 57:235–238
Shaha AR, Jaffe BM (1993) Selective use of drains in thyroid surgery. J Surg Oncol 52:241–243
Khanna J, Mohil RS, Chintamani et al (2005) Is the routine drainage after surgery for thyroid necessary? A prospective randomized clinical study. BMC Surg. DOI 10.1186/1471-2482-5-11
Kristofferson A, Sandzen B, Jarhult J (1986) Drainage in uncomplicated thyroid and parathyroid surgery. Br J Surg 73:121–122
Willy C, Steinbronn S, Sterk J et al (1998) Drainage systems in thyroid surgery: a randomised trial of passive and suction drainage. Eur J Surg 164:935–940
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Ozlem, N., Ozdogan, M., Gurer, A. et al. Should the thyroid bed be drained after thyroidectomy?. Langenbecks Arch Surg 391, 228–230 (2006). https://doi.org/10.1007/s00423-006-0048-2
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DOI: https://doi.org/10.1007/s00423-006-0048-2