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Related Concept Videos

Synthesis and Regulation of Thyroid Hormones01:20

Synthesis and Regulation of Thyroid Hormones

4.6K
Low blood levels of the thyroid hormones — triiodothyronine (T3) and thyroxine (T4) — signal the hypothalamus to release the thyrotropin-releasing hormone (TRH). TRH then reaches the pituitary gland and stimulates the release of thyroid-stimulating hormone(TSH) into the bloodstream.
Upon reaching the thyroid gland, TSH stimulates the follicular cells' active uptake of iodide ions from the blood. The ions diffuse to the apical surface of the cells and are oxidized to iodine. The...
4.6K

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Related Experiment Video

Updated: Jul 9, 2025

Transoral Robotic Total Thyroidectomy and Bilateral Central Regional Lymph Node Dissection for Papillary Thyroid Carcinoma
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Transoral Robotic Total Thyroidectomy and Bilateral Central Regional Lymph Node Dissection for Papillary Thyroid Carcinoma

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Drainless thyroid surgeries including goiter or central neck dissection: a case-control study.

Oded Cohen1,2,3, Noa Dagul Amiad4, Eitan Shavit4

  • 1ARM-Center for Otolaryngology-Head and Neck Surgery Center and Oncology, Assuta Medical Center, 20 Habarzel Street, Tel Aviv, Israel. odedco@assuta.co.il.

European Archives of Oto-Rhino-Laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery
|December 6, 2023
PubMed
Summary
This summary is machine-generated.

Drainless thyroid surgery is feasible for complex cases like goiters and central neck dissections (CND). These advanced drainless procedures do not significantly increase seroma or infection rates compared to traditional methods.

Keywords:
Central neck dissectionDrainGoiterSeromaThyroid

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Area of Science:

  • Endocrinology
  • Surgical Oncology
  • Head and Neck Surgery

Background:

  • Limited evidence exists for drainless thyroid surgery in goiters and central neck dissections (CND).
  • Feasibility of simple drainless thyroidectomies is established, but complex cases require further investigation.

Purpose of the Study:

  • To evaluate the feasibility and safety of drainless total thyroidectomy (TT) in patients with goiters and those undergoing central neck dissection (CND).
  • To compare post-operative outcomes, specifically seroma rates, between drainless and conventional thyroidectomy techniques in complex scenarios.

Main Methods:

  • A retrospective study included 156 patients undergoing total thyroidectomy (TT) between January 2017 and July 2022.
  • Study groups: drainless TT with CND, drainless TT for goiter, non-goiter drainless TT, and drained TT for goiter or with CND.
  • Primary outcome measured was the post-operative seroma rate.

Main Results:

  • Post-operative seroma occurred in 5.8% of patients, exclusively in the study groups (drainless TT with CND or goiter).
  • No significant differences were observed in permanent hypocalcemia, other complications, local infections, aspirations, or post-discharge drain insertion rates between groups.
  • A total of 156 patients met inclusion criteria for each group.

Conclusions:

  • Complex drainless thyroid surgeries, including those for goiters and with central neck dissection (CND), are feasible.
  • These advanced drainless techniques do not appear to significantly elevate the rates of post-operative seromas or infections.