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Journal of Zhejiang University SCIENCE B 2008 Vol.9 No.4 P.319-323

http://doi.org/10.1631/jzus.B0720257


Drainage after total thyroidectomy or lobectomy for benign thyroidal disorders


Author(s):  Tahsin COLAK, Tamer AKCA, Ozgur TURKMENOGLU, Hakan CANBAZ, Bora USTUNSOY, Arzu KANIK, Suha AYDIN

Affiliation(s):  Department of General Surgery, Medical Faculty of Mersin University, 33079 Mersin, Turkey; more

Corresponding email(s):   tcolak@mersin.edu.tr

Key Words:  Analgesic requirement, Complications, Drainage, Postoperative pain, Total thyroidectomy


Tahsin COLAK, Tamer AKCA, Ozgur TURKMENOGLU, Hakan CANBAZ, Bora USTUNSOY, Arzu KANIK, Suha AYDIN. Drainage after total thyroidectomy or lobectomy for benign thyroidal disorders[J]. Journal of Zhejiang University Science B, 2008, 9(4): 319-323.

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author="Tahsin COLAK, Tamer AKCA, Ozgur TURKMENOGLU, Hakan CANBAZ, Bora USTUNSOY, Arzu KANIK, Suha AYDIN",
journal="Journal of Zhejiang University Science B",
volume="9",
number="4",
pages="319-323",
year="2008",
publisher="Zhejiang University Press & Springer",
doi="10.1631/jzus.B0720257"
}

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%T Drainage after total thyroidectomy or lobectomy for benign thyroidal disorders
%A Tahsin COLAK
%A Tamer AKCA
%A Ozgur TURKMENOGLU
%A Hakan CANBAZ
%A Bora USTUNSOY
%A Arzu KANIK
%A Suha AYDIN
%J Journal of Zhejiang University SCIENCE B
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%P 319-323
%@ 1673-1581
%D 2008
%I Zhejiang University Press & Springer
%DOI 10.1631/jzus.B0720257

TY - JOUR
T1 - Drainage after total thyroidectomy or lobectomy for benign thyroidal disorders
A1 - Tahsin COLAK
A1 - Tamer AKCA
A1 - Ozgur TURKMENOGLU
A1 - Hakan CANBAZ
A1 - Bora USTUNSOY
A1 - Arzu KANIK
A1 - Suha AYDIN
J0 - Journal of Zhejiang University Science B
VL - 9
IS - 4
SP - 319
EP - 323
%@ 1673-1581
Y1 - 2008
PB - Zhejiang University Press & Springer
ER -
DOI - 10.1631/jzus.B0720257


Abstract: 
Objective: This prospective randomized clinical trial was conducted to evaluate the necessity of drainage after total thyroidectomy or lobectomy for benign thyroidal disorders. Methods: A total of 116 patients who underwent total thyroidectomy or lobectomy for benign thyroidal disorders were randomly allocated to be drained or not. Operative and postoperative outcomes including operating time, postoperative pain assessed by visual analogue scale (VAS), total amount of intramuscular analgesic administration, hospital stay, complications, necessity for re-operation and satisfaction of patients were all assessed. Results: The mean operating time was similar between two groups (the drained and non-drained groups). The mean VAS score was found to be significantly low in the non-drained group patients in postoperative day (POD) 0 and POD 1. The mean amount of intramuscular analgesic requirement was significantly less in the non-drained group. One case of hematoma, two cases of seroma and three cases of transient hypoparathyroidism occurred in the non-drained group, whereas one case of hematoma, two cases of seroma, two cases of wound infections and two cases of transient hypoparathyroidism occurred in the drained group. No patient needed re-operation for any complication. The mean hospital stay was significantly shorter and the satisfaction of patients was superior in the non-drained group. Conclusion: These findings suggest that postoperative complications cannot be prevented by using drains after total thyroidectomy or lobectomy for benign thyroid disorders. Furthermore, the use of drains may increase postoperative pain and the analgesic requirement, and prolong the hospital stay. In the light of these findings, the routine use of drains might not be necessary after thyroid surgery for benign disorders.

Darkslateblue:Affiliate; Royal Blue:Author; Turquoise:Article

Reference

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