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A complication of thyroidectomy: Do not forget suture reaction
Burhan Hakan Kanat1, Mehmet Buğra Bozan1, Seyfi Emir1
1Department of General Surgery, Elazığ Training and Research Hospital, Elazığ, Turkey.
Turkish Journal of Surgery
|July 26, 2017
Summary
Suture reactions after thyroidectomy are uncommon, occurring in 2.1% of cases. Most patients were treated conservatively with good outcomes, suggesting careful suture selection is important.
Area of Science:
- Endocrinology
- Surgical Pathology
Background:
- Thyroidectomy is a common surgical procedure.
- Bleeding is a known complication, often managed with ligation.
- Surgical sutures can elicit tissue reactions.
Purpose of the Study:
- To report on patients experiencing suture reactions post-thyroidectomy.
- To analyze the characteristics and management of these reactions.
Main Methods:
- Retrospective evaluation of patients treated for suture reaction after thyroidectomy.
- Data collected included age, gender, symptom duration, operation type, and treatment.
- Study period: January 2012 to December 2014.
Main Results:
- 12 out of 559 thyroid/parathyroid operations (2.1% incidence) resulted in suture reactions.
- Mean patient age was 42 years; 75% were female.
- 83.3% of reactions followed bilateral total thyroidectomy.
- Mean symptom duration was 7.2 months.
- 16.7% required re-operation; 83.3% were managed conservatively.
- No complications were reported.
Conclusions:
- Suture reactions are a potential, though infrequent, complication of thyroidectomy.
- Conservative management is often effective.
- Choosing absorbable sutures with low reaction potential is recommended to minimize this complication.
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