Drain versus non drain in thyroid surgery

https://doi.org/10.24017/science.2016.1.2.5

Abstract views: 1866 / PDF downloads: 1446

Authors

  • Fadhil Ahmed Mohialdeen Technical College of Health, Sulaimani Polytechnic University
  • Abdul-Wahid M Salih School of Medicine, Sulaimani University
  • Mohammed IM Gubari Technical College of Health, Sulaimani Polytechnic University
  • Soran Ameen Hama-law Technical College of Health, Sulaimani Polytechnic University

Abstract

The use of a suction drain in thyroid surgery is common practice in order to avoid hematomas or seromas. The aim of this study was to determine the efficacy of inserting a routine drainage tube after thyroid surgery. In this retrospective study, 102 patients who underwent either a total thyroidectomy for thyroid disorders were assigned to either the drained or the non-drained groups. The length of hospital stays, postoperative pain, patient comfortability and complications were retrieved. Both groups were homogeneous according to age, gender, type of procedure performed, histopathological diagnosis residency and marital status. No significant difference was found between the two groups in post- operative complications, but the length of hospital stay was significantly reduced in non-drained group (p<0.0001), and drained group needed one more dose of analgesics compared to non-drained group to alleviate the post-operative pain.Our findings, suggesting that the use of drain for thyroid surgery cannot lower the incidence of complications. Furthermore, the use of drains may increase length of hospital stay, postoperative-pain,and the need of analgesic and contribute to the discomfort of the patients. Hence, the routine insertion of drains after total thyroidectomy for benign disorders might not be necessary.

Keywords:

drain, non- drain, and thyroidectomy

References

[1] T. Colak, et al., Drainage after total thyroidectomy or lobectomy for benign thyroidal disorders. Journal of Zhejiang University Science B, 2008. 9(4): p. 319-323.
https://doi.org/10.1631/jzus.B0720257
[2] R. Prichard et al., The routine use of post-operative drains in thyroid surgery: an outdated concept. Irish medical journal, 2010.
[3] S. W., Lee, et al., Is lack of placement of drains after thyroidectomy with central neck dissection safe? A prospective, randomized study. The Laryngoscope,2006. 116(9): p. 1632-1635.
https://doi.org/10.1097/01.mlg.0000231314.86486.be
[4] O. Wihlborg, L. Bergljung, and H. Mårtensson, To drain or not to drain in thyroid surgery: a controlled clinical study. Archives of surgery, 1988. 123(1): p.40-41.
https://doi.org/10.1001/archsurg.1988.01400250042007
[5] J. Khanna, et al., Is the routine drainage after surgery for thyroid necessary?-A prospective randomized clinical study [ISRCTN63623153]. BMC surgery, 2005. 5(1): p. 1.
https://doi.org/10.1186/1471-2482-5-11
[6] M R Gooda, Z.G. Oonwala, and S. Khan, Use of Drainage after Thyroid Surgery: Is it Evidence based. Pak J Surg, 2007. 23(3): p. 173-176.
[7] P. Chalya, J. Gilyoma, and M. Mchembe, Drain versus No Drain after Thyroidectomy: a prospective randomized clinical study. East and Central African Journal of Surgery, 2011. 16(2): p. 55-61.
[8] N. Ozlem, et al., Should the thyroid bed be drained after thyroidectomy? Langenbeck's Archives of Surgery, 2006. 391(3): p. 228-230.
https://doi.org/10.1007/s00423-006-0048-2
[9] I. Ishaq, et al., The role of drainage after thyroid surgery. Is it mandatory. Annals of Punjab Medical College, 2008. 2: p. 46-49.
[10] P. G. Calo, et al., Postoperative Haematomas after thyroid surgery. Ann Ital Chir, 2010. 81: p. 343-47.
[11] D.C Ariyanayagam, et al., Thyroid surgery without drainage: 15 years of clinical experience. Journal of the Royal College of Surgeons of Edinburgh, 1993.38(2): p. 69-70.
[12] A.RShaha, and B.M. Jaffe, Selective use of drains in thyroid surgery. Journal of surgical oncology, 1993.52(4): p. 241-243.
https://doi.org/10.1002/jso.2930520409
[13] A.R Shaha, and B.M. Jaffe, Practical management of post? thyroidectomy hematoma. Journal of surgical oncology, 1994. 57(4): p. 235-238.
https://doi.org/10.1002/jso.2930570406
[14] G. Schoretsanitis, et al., Does Draining the Neck A?ect Morbidity Following Thyroid Surgery? 1998.
[15] L M. Hurtado? López, et al., Selective use of drains in thyroid surgery. Head & neck, 2001. 23(3): p. 189-193.
https://doi.org/10.1002/1097-0347(200103)23:3<189::AID-HED1017>3.0.CO;2-Y
[16] N. Suslu, et al., Is the insertion of drains after uncomplicated thyroid surgery always necessary? Surgery today, 2006. 36(3): p. 215-218.
https://doi.org/10.1007/s00595-005-3129-x
[17] T.W Khanzada, et al., Post thyroidectomy complications: the Hyderabad experience. J Ayub Med Coll Abbottabad, 2010. 22(1): p. 65-8.

Downloads

How to Cite

[1]
F. A. Mohialdeen, A.-W. M. Salih, M. I. Gubari, and S. A. Hama-law, “Drain versus non drain in thyroid surgery”, KJAR, vol. 1, no. 2, pp. 26–29, Dec. 2016, doi: 10.24017/science.2016.1.2.5.

Article Metrics

Published

18-12-2016

Issue

Section

Pure and Applied Science