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Related Experiment Videos

Thyroidectomy with and without drains

K Karayacin1, H Besim, F Ercan

  • 1Department of Surgery, Ankara Numune Hospital, Turkey.

East African Medical Journal
|July 1, 1997
PubMed
Summary

Routine surgical drains after thyroid surgery are not essential for preventing complications. A selective approach, based on operative findings, can be safely implemented, potentially reducing reoperations for bleeding and wound infections.

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Area of Science:

  • Endocrinology
  • Surgical Oncology
  • General Surgery

Background:

  • Surgical drains are commonly used after thyroidectomy to mitigate severe complications.
  • However, the efficacy of drains in preventing hematoma formation remains debated.
  • Existing practices often involve routine drain placement.

Purpose of the Study:

  • To evaluate the necessity of routine surgical drains following thyroidectomy.
  • To compare complication rates between patients with and without surgical drains.
  • To assess the safety and efficacy of a selective drainage policy.

Main Methods:

  • A retrospective study analyzing 1057 thyroidectomy cases (1983-1993).
  • Patients were divided into two groups: those with drains (n=520) and those without (n=537).

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  • Selective drainage criteria included wet operative fields and significant dead space.

    • Main Results:

    • The drain group had significantly more reoperations for bleeding (12 vs. 2, p < 0.05).
    • Wound infection rates were higher in the drain group (7 vs. 0, p < 0.05).
    • No significant difference in overall complication rates was observed when considering a selective approach.

    Conclusions:

    • Routine drainage after thyroid surgery is not indicated.
    • A selective drainage strategy, guided by intraoperative assessment, is safe and effective.
    • Selective drainage may reduce the incidence of postoperative bleeding and wound infections.