Drains in thyroid and parathyroid surgery. Are they necessary?
Arch Otolaryngol Head Neck Surg
; 121(9): 981-3, 1995 Sep.
Article
em En
| MEDLINE
| ID: mdl-7646866
ABSTRACT
OBJECTIVE:
To assess the postoperative complications in patients who underwent elective thyroid or parathyroid surgery without postoperative drainage.DESIGN:
During a 6-year period all patients who met study criteria were prospectively evaluated.SETTING:
General community and tertiary referral center. PATIENTS Fifty-seven patients undergoing thyroid surgery and eight patients undergoing parathyroid surgery were evaluated. Twenty-four patients were excluded because drains were placed postoperatively. Reasons for exclusion included presence of a large dead space, substernal goiter, extensive neck dissection for malignant neoplasm, and large goiters.RESULTS:
Major complications consisted of a hematoma requiring reexploration in one patient, and a recurrent nerve palsy in one patient. Minor complications consisted of temporary hypocalcemia (three), seroma (one), and superior flap edema that resolved in 3 months (20).CONCLUSION:
Routine prophylactic drainage in a select patient population is unnecessary after uncomplicated thyroid or parathyroid surgery.
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Eixos temáticos:
Pesquisa_clinica
Base de dados:
MEDLINE
Assunto principal:
Doenças das Paratireoides
/
Doenças da Glândula Tireoide
/
Drenagem
Tipo de estudo:
Observational_studies
Limite:
Adult
/
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Ano de publicação:
1995
Tipo de documento:
Article