Outcome of thyroid surgery by applying a haemostatic agent with and without a drain

S. M. Asikur Rahat; M. Mahmudul Hasan; M. Aminul I. Joarder; Rokebul H. Mazumdar; Nayeemun Akter; Ferdous Alam; Rajib Chowdhury; M. Shaukat Ali; Emdadul Hoque

doi:10.18203/2349-2902.isj20253832

Authors

S. M. Asikur Rahat Department of Surgery, Rangpur Medical College Hospital, Rangpur, Bangladesh
M. Mahmudul Hasan Department of Surgery, Z. H. Sikder Women's Medical College and Hospital, Dhaka, Bangladesh
M. Aminul I. Joarder Department of General Surgery, Bangladesh Medical University, Dhaka, Bangladesh
Rokebul H. Mazumdar Department of Surgery, Ad Din Akij Medical College, Khulna, Bangladesh
Nayeemun Akter Department of Surgery, Bangladesh Medical University, Dhaka, Bangladesh
Ferdous Alam Department of General Surgery, Bangladesh Medical University, Dhaka, Bangladesh
Rajib Chowdhury Habiganj Medical College, Habiganj, Bangladesh
M. Shaukat Ali Department of Surgery, Bangladesh Medical University, Dhaka, Bangladesh
Emdadul Hoque Department of Surgery, Manikgonj Medical College, Manikgonj, Bangladesh

DOI:

https://doi.org/10.18203/2349-2902.isj20253832

Keywords:

Thyroidectomy, Haemostatic agent, Drain tube, Postoperative complications

Abstract

Background: Thyroidectomy is a common surgical procedure for benign and malignant thyroid diseases. The routine uses of surgical drains following thyroidectomy remains controversial, particularly with the application of modern haemostatic agents that may effectively prevent postoperative bleeding and hematoma formation. This study aimed to evaluate the outcome of thyroid surgery with and without the use of a drain tube when haemostatic agents were applied.

Methods: This comparative study was conducted in the Department of General Surgery, Bangabandhu Sheikh Mujib Medical University (BSMMU), from July 2023 to August 2024. A total of 30 patients undergoing thyroid surgery were divided into two groups: 16 with drain tube placement and 14 without.

Results: The mean age of the participants was 36.94±8.73 years in the drain group and 39.86±7.12 years in the non-drain group, with females comprising the majority in both. Multinodular goiter was the predominant diagnosis, and total thyroidectomy was the most frequently performed procedure. Postoperative complications such as hemorrhage, respiratory distress, wound infection, and stridor were not observed in either group. Only two patients (14.3%) in the non-drain group developed mild neck swelling, which resolved with conservative management. The mean hospital stay was shorter in patients without drains, and although this difference was not statistically significant (p>0.05).

Conclusions: The application of haemostatic agents during thyroid surgery provides effective intraoperative hemostasis, making routine drain tube placement unnecessary. Avoiding drains may enhance patient comfort and reduce hospital stay without increasing postoperative complications.

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