Drain verus No Drain After Thyroidectomy: A Preliminary Prospective Randomized Controlled Trial
Objective: To evaluate the necessity of placing a drain in post-thyroidectomy patients, we aimed to determine whether insertion of a passive drain, as compared to no drain, in post-thyroidectomy patients, would significantly affect hematoma formation, wound infection, wound dehiscence and length of...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Philippine Society of Otolaryngology-Head and Neck Surgery, Inc.
2014-06-01
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| Series: | Philippine Journal of Otolaryngology Head and Neck Surgery |
| Subjects: | |
| Online Access: | https://pjohns.pso-hns.org/index.php/pjohns/article/view/451 |
| _version_ | 1818065847692820480 |
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| author | Jefferson A. Alamani Elias T. Reala Samantha S. Castañeda Antonio H. Chua |
| author_facet | Jefferson A. Alamani Elias T. Reala Samantha S. Castañeda Antonio H. Chua |
| author_sort | Jefferson A. Alamani |
| collection | DOAJ |
| description | Objective: To evaluate the necessity of placing a drain in post-thyroidectomy patients, we aimed to determine whether insertion of a passive drain, as compared to no drain, in post-thyroidectomy patients, would significantly affect hematoma formation, wound infection, wound dehiscence and length of hospital stay.
Methods:
Study Design: Prospective randomized controlled trial
Setting: Tertiary government training hospital
Subjects: Patients who underwent thyroidectomy for various thyroid pathologies were divided into two postoperative treatment arms: one group with insertion of a passive drain, and another group without a drain. Hematoma, wound infection, wound dehiscence, and length of hospital stay were the outcomes measured per treatment arm.
Results: A total of 66 patients were evaluated. There were 54 females (81.81%) and 12 males (18.18%). The mean age for the drain group was 44.88 years and 43.67 years for the no drain group. Four patients developed complications in the drain group and 2 developed complications in the no drain group. The rate of complications between both groups was not statistically significant. The mean hospital stay of the drain group was 3.15 days, which in the no drain group was 2.51 days. The difference in length of hospital stay was statistically significant.
Conclusion: There was no difference in the development of complications among the drain and no drain group. Thyroidectomy without surgical drains was associated with a significant reduction in hospital stay compared to thyroidectomy with routine placement of drains.
Keywords: Surgical drainage / methods, hematoma / prevention and control, postoperative complications / prevention and control, thyroid disease / surgery, thyroidectomy / methods |
| first_indexed | 2024-12-10T14:58:24Z |
| format | Article |
| id | doaj.art-6895a6f90c8f44dbb2c8c0415b3395a5 |
| institution | Directory Open Access Journal |
| issn | 1908-4889 2094-1501 |
| language | English |
| last_indexed | 2024-12-10T14:58:24Z |
| publishDate | 2014-06-01 |
| publisher | Philippine Society of Otolaryngology-Head and Neck Surgery, Inc. |
| record_format | Article |
| series | Philippine Journal of Otolaryngology Head and Neck Surgery |
| spelling | doaj.art-6895a6f90c8f44dbb2c8c0415b3395a52022-12-22T01:44:15ZengPhilippine Society of Otolaryngology-Head and Neck Surgery, Inc.Philippine Journal of Otolaryngology Head and Neck Surgery1908-48892094-15012014-06-0129110.32412/pjohns.v29i1.451Drain verus No Drain After Thyroidectomy: A Preliminary Prospective Randomized Controlled TrialJefferson A. Alamani0Elias T. Reala1Samantha S. Castañeda2Antonio H. Chua3Department of Otolaryngology Head and Neck Surgery Jose R. Reyes Memorial Medical CenterDepartment of Otolaryngology Head and Neck Surgery Jose R. Reyes Memorial Medical CenterDepartment of Otolaryngology Head and Neck Surgery Jose R. Reyes Memorial Medical CenterDepartment of Otolaryngology Head and Neck Surgery Jose R. Reyes Memorial Medical CenterObjective: To evaluate the necessity of placing a drain in post-thyroidectomy patients, we aimed to determine whether insertion of a passive drain, as compared to no drain, in post-thyroidectomy patients, would significantly affect hematoma formation, wound infection, wound dehiscence and length of hospital stay. Methods: Study Design: Prospective randomized controlled trial Setting: Tertiary government training hospital Subjects: Patients who underwent thyroidectomy for various thyroid pathologies were divided into two postoperative treatment arms: one group with insertion of a passive drain, and another group without a drain. Hematoma, wound infection, wound dehiscence, and length of hospital stay were the outcomes measured per treatment arm. Results: A total of 66 patients were evaluated. There were 54 females (81.81%) and 12 males (18.18%). The mean age for the drain group was 44.88 years and 43.67 years for the no drain group. Four patients developed complications in the drain group and 2 developed complications in the no drain group. The rate of complications between both groups was not statistically significant. The mean hospital stay of the drain group was 3.15 days, which in the no drain group was 2.51 days. The difference in length of hospital stay was statistically significant. Conclusion: There was no difference in the development of complications among the drain and no drain group. Thyroidectomy without surgical drains was associated with a significant reduction in hospital stay compared to thyroidectomy with routine placement of drains. Keywords: Surgical drainage / methods, hematoma / prevention and control, postoperative complications / prevention and control, thyroid disease / surgery, thyroidectomy / methodshttps://pjohns.pso-hns.org/index.php/pjohns/article/view/451Surgical drainage / methods, hematoma / prevention and control, postoperative complications / prevention and control, thyroid disease / surgery, thyroidectomy / methods |
| spellingShingle | Jefferson A. Alamani Elias T. Reala Samantha S. Castañeda Antonio H. Chua Drain verus No Drain After Thyroidectomy: A Preliminary Prospective Randomized Controlled Trial Philippine Journal of Otolaryngology Head and Neck Surgery Surgical drainage / methods, hematoma / prevention and control, postoperative complications / prevention and control, thyroid disease / surgery, thyroidectomy / methods |
| title | Drain verus No Drain After Thyroidectomy: A Preliminary Prospective Randomized Controlled Trial |
| title_full | Drain verus No Drain After Thyroidectomy: A Preliminary Prospective Randomized Controlled Trial |
| title_fullStr | Drain verus No Drain After Thyroidectomy: A Preliminary Prospective Randomized Controlled Trial |
| title_full_unstemmed | Drain verus No Drain After Thyroidectomy: A Preliminary Prospective Randomized Controlled Trial |
| title_short | Drain verus No Drain After Thyroidectomy: A Preliminary Prospective Randomized Controlled Trial |
| title_sort | drain verus no drain after thyroidectomy a preliminary prospective randomized controlled trial |
| topic | Surgical drainage / methods, hematoma / prevention and control, postoperative complications / prevention and control, thyroid disease / surgery, thyroidectomy / methods |
| url | https://pjohns.pso-hns.org/index.php/pjohns/article/view/451 |
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