Literature DB >> 16733762

Should the thyroid bed be drained after thyroidectomy?

Nuraydin Ozlem1, Mehmet Ozdogan, Ahmet Gurer, Ismail Gomceli, Raci Aydin.   

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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Year:  2006        PMID: 16733762     DOI: 10.1007/s00423-006-0048-2

Source DB:  PubMed          Journal:  Langenbecks Arch Surg        ISSN: 1435-2443            Impact factor:   3.445


  12 in total

1.  The use of drains following thyroid and parathyroid surgery: a meta-analysis.

Authors:  David D Pothier
Journal:  J Laryngol Otol       Date:  2005-09       Impact factor: 1.469

2.  Drainage after thyroidectomy: a randomized clinical trial.

Authors:  J L Peix; F Teboul; H Feldman; J L Massard
Journal:  Int Surg       Date:  1992 Apr-Jun

3.  Drainage in uncomplicated thyroid and parathyroid surgery.

Authors:  A Kristoffersson; B Sandzén; J Järhult
Journal:  Br J Surg       Date:  1986-02       Impact factor: 6.939

4.  Drain vs. no drain in primary thyroid and parathyroid surgery.

Authors:  K Ayyash; M Khammash; S Tibblin
Journal:  Eur J Surg       Date:  1991-02

5.  Selective use of drains in thyroid surgery.

Authors:  L M Hurtado-López; S López-Romero; C Rizzo-Fuentes; F R Zaldívar-Ramírez; C Cervantes-Sánchez
Journal:  Head Neck       Date:  2001-03       Impact factor: 3.147

6.  Drainage systems in thyroid surgery: a randomised trial of passive and suction drainage.

Authors:  C Willy; S Steinbronn; J Sterk; H Gerngross; W Schwarz
Journal:  Eur J Surg       Date:  1998-12

7.  Selective use of drains in thyroid surgery.

Authors:  A R Shaha; B M Jaffe
Journal:  J Surg Oncol       Date:  1993-04       Impact factor: 3.454

8.  Practical management of post-thyroidectomy hematoma.

Authors:  A R Shaha; B M Jaffe
Journal:  J Surg Oncol       Date:  1994-12       Impact factor: 3.454

9.  Does draining the neck affect morbidity following thyroid surgery?

Authors:  G Schoretsanitis; J Melissas; E Sanidas; M Christodoulakis; J G Vlachonikolis; D D Tsiftsis
Journal:  Am Surg       Date:  1998-08       Impact factor: 0.688

10.  Is the routine drainage after surgery for thyroid necessary? A prospective randomized clinical study [ISRCTN63623153].

Authors:  Jotinder Khanna; R S Mohil; Dinesh Bhatnagar; M K Mittal; M Sahoo; Magan Mehrotra
Journal:  BMC Surg       Date:  2005-05-19       Impact factor: 2.102

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  8 in total

1.  Wound complications and clinical results of electrocautery versus a scalpel to create a cutaneous flap in thyroidectomy: a prospective randomized trial.

Authors:  Mehmet Uludag; Gurkan Yetkin; Alper Ozel; M Banu Yilmaz Ozguven; Senay Yener; Adnan Isgor
Journal:  Surg Today       Date:  2011-07-20       Impact factor: 2.549

2.  Comparison of Postoperative Drain Insertion versus No Drain Insertion in Thyroidectomies: Retrospective case-control study from the Sultan Qaboos University Hospital, Muscat, Oman.

Authors:  Asma S Al-Habsi; Al-Anood K Al-Sulaimani; Kadhim M Taqi; Hani A Al-Qadhi
Journal:  Sultan Qaboos Univ Med J       Date:  2016-11-30

3.  Safety of thyroidectomy and cervical neck dissection without drains.

Authors:  Bassam Abboud; Ghassan Sleilaty; Habib Rizk; Gerard Abadjian; Claude Ghorra
Journal:  Can J Surg       Date:  2012-06       Impact factor: 2.089

4.  To drain or not to drain after thyroid surgery: a randomized controlled trial at a tertiary Hospital in East Africa.

Authors:  E Kalemera Ssenyondo; J Fualal; J Jombwe; M Galukande
Journal:  Afr Health Sci       Date:  2013-09       Impact factor: 0.927

5.  Impact of drains on nausea and vomiting after thyroid and parathyroid surgery: a randomized controlled trial.

Authors:  B M Künzli; M Walensi; J Wilimsky; C Bucher; T Bührer; C Kull; A Zuse; C A Maurer
Journal:  Langenbecks Arch Surg       Date:  2019-06-26       Impact factor: 3.445

6.  Effect of Intraoperative Valsalva Maneuver Application on Bleeding Point Detection and Postoperative Drainage After Thyroidectomy Surgeries.

Authors:  Mehmet Tokaç; Ersin Gürkan Dumlu; Birkan Bozkurt; Haydar Öcal; Cevdet Aydın; Abdussamed Yalçın; Bekir Çakır; Mehmet Kılıç
Journal:  Int Surg       Date:  2015-06

7.  Postoperative use of drain in thyroid lobectomy - a randomized clinical trial conducted at Civil Hospital, Karachi, Pakistan.

Authors:  Zahid Ali Memon; Gulrayz Ahmed; Sarah Rafi Khan; Mahvesh Khalid; Naheed Sultan
Journal:  Thyroid Res       Date:  2012-09-28

Review 8.  The effect of no drainage in patients who underwent thyroidectomy with neck dissection: A systematic review and meta-analysis.

Authors:  Lei Li; Hengyu Chen; Huishan Tao; Weizhen Liu; Wenrong Li; Zhengwei Leng; Ende Zhao; Tao Huang
Journal:  Medicine (Baltimore)       Date:  2017-12       Impact factor: 1.817

  8 in total

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