DOI: http://dx.doi.org/10.18203/2349-2902.isj20191057

A prospective clinical trial on comparison of thyroidectomy done with or without drain

Rajan V. K.

Abstract


Background: The practice of using the drain in thyroidectomy is common to avoid complications like a hematoma. Many surgeons use drain following thyroid surgery with an intention to evacuate the collected serum and blood. Objective was to evaluate the necessity of routine drainage and advantages in thyroidectomy.

Methods: Prospective, non-randomized clinical trial was conducted for a duration of 1 year in 60 patients attended hospital. Patient were divided into two groups (Group WD and Group D). Epi-info version 7.0 was used for analysis. P<0.05 is considered statistically significant.

Results: As seen the surgery was common in females which was significant (p<0.05) with the average age of 44 years in patients treated without drain while 42 years with drain. The most common diagnostic indication was found to be thyroid nodule. length of stay in hospital was less in patients were surgery was done with drain (2 days) (p<0.05).

Conclusions: Significant reduction in length of hospital stay in drainage group compared to non-drainage group. So suction drainage should be done as a routine procedure.


Keywords


Clinical trial, Haematoma, Colorectal, Thyroidectomy, Suction drain

Full Text:

PDF

References


Becker WF. Pioneers in thyroid surgery. Ann Surg. 1977;185:493-504.

Schwartz AE, Clark OH, Ituarte P, LoGerfo P. Therapeutic controversy: thyroid surgery-the choice. J Clin Endocrinol Metah. 1998;83:1097-105.

Sahai A, Symes A, Jeddy T. Short-stay thyroid surgery. Br J Surg. 2005;92:58-9.

McHenry CR. ‘Same-day’ thyroid surgery: an analysis of safety, cost savings, and outcome. Am Surg. 1997;63:586-9.

Uslu N, Vural S, Oncel M. Is the insertion of drains after uncomplicated thyroid surgery always necessary? Surg Today. 2006;36(3):215-8.

Corsten M, Johnson S, Alherabi A. Is suction drainage an effective means of preventing haematoma in thyroid surgery? A metaanalysis. J Otolaryngol. 2005;34:415-7.

Khanna J, Mohil R, Chintamani S. Is the routine drainage after surgery for thyroid necessary? A prospective randomized clinical study. BMC Surg. 2005;5(1):11.

Herranz J, Latorre J. Drainage in thyroid and parathyroid surgery. Acta Otorrinolaringologica Espanola. 2007;58(1):7-9.

Shaha AR, Jaffe BM. Practical management of post thyroidectomy hematoma. J Surg Oncol. 1994;57(4):235-8.

Ariyanayagam DG, Naraynsingh V, Busby D, Sieunarine K, Raju G, Jankey N. Thyroid surgery without drainage: 15 years of clinical experience. J Royal Coll Surgeons Edinburgh. 1993;38(2):69-70.

Kristoffersson A, Sandzen B, Jarhult J. Drainage in uncomplicated thyroid and parathyroid surgery. Br J Surg. 1986;73(2):121-2.

Sosa JA, Bowman HM, Tielsch JM, Powe NR, Gordon TA, Udelsman R. The importance of surgeon experience for clinical and economic outcomes from thyroidectomy. Annals Surg. 1998;228(3):320.

Schoretsanitis G, Melissas J, Sanidas E, Christodoulakis M. Does draining the neck affect morbidity following thyroid surgery? Am Surgeon. 1998;64(8):778.

Marohn MR, LaCivita KA. Evaluation of total/near-total thyroidectomy in a short-stay hospitalization: safe and cost-effective. Surg. 1995;118:943-8.

Hurtado-Lopez LM, Lopez-Romero S, Rizzo-Fuentes C. Selective use of drains in thyroid surgery. Head Neck. 2001;23:189-93.