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Minimal Invasive Resection of Large Retrosternal Thyroid Goiter
Published on: September 20, 2024
The use of drains in thyroid surgery
A A Musa1, O J Agboola, A A F Banjo
1Department of Surgery, Olabisi Onabanjo University Sagamu, Ogun State, Nigeria. alwajud1423@yahoo.com
The Nigerian Postgraduate Medical Journal
|March 30, 2010
Summary
Thyroidectomy drains are not always necessary, especially in routine cases. Their use can increase infection risk, prolong hospital stays, and raise costs, though they may benefit patients with large cavities or significant bleeding.
Area of Science:
- Surgical Oncology
- Endocrine Surgery
- Surgical Outcomes Research
Background:
- Thyroidectomy is a common surgical procedure.
- The routine use of surgical drains after thyroidectomy is debated.
- Drains may influence postoperative complications, hospital stay, and costs.
Purpose of the Study:
- To evaluate the necessity and benefits of drains in thyroidectomy.
- To assess the limitations associated with drain use.
- To analyze the relationship between drain use, surgical costs, and hospital stay.
Main Methods:
- A prospective randomized study was conducted on 67 patients undergoing subtotal thyroidectomy.
- Patients were divided into two groups: Group A (35 patients with drains) and Group B (32 patients without drains).
- Standardized surgical techniques and closure methods were used; no anticoagulants were administered.
Main Results:
- No significant difference in mean age between groups (p=0.464).
- Two patients (5.7%) in the drain group (Group A) developed wound infections, increasing morbidity and hospital costs.
- No blood transfusions were required; respiratory obstruction occurred in three patients (one from Group A, two from Group B).
Conclusions:
- Surgical drains are not universally necessary for all thyroidectomies.
- Drain use may be beneficial in cases with large post-extraction cavities or significant oozing from vascular glands.
- Limitations of drains include infection risk, prolonged hospital stay, and increased hospital bills.
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