The Impact of Pressure Dressing on Post-Thyroidectomy Hypocalcemia: Prospective Randomized Controlled Clinical Study
Objective:The aim of the study was to evaluate the efficacy of pressure dressing on complications after total thyroidectomy and its correlation with serum calcium levels.Methods:The study involved 112 patients who underwent total thyroidectomy. Patients were randomized into two groups-with and witho...
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| Format: | Article |
| Language: | English |
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Galenos Yayincilik
2014-06-01
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| Series: | Turkish Archives of Otorhinolaryngology |
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http://turkarchotolaryngol.net/archives/archive-detail/article-preview/the-mpact-of-pressure-dressing-on-post-thyroidecto/43389
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| author | Salih Aydın Ümit Taşkın Hasan Emre Koçak Kadir Özdamar Tülin Şentürk Bilgehan Güntekin Mehmet Faruk Oktay |
| author_facet | Salih Aydın Ümit Taşkın Hasan Emre Koçak Kadir Özdamar Tülin Şentürk Bilgehan Güntekin Mehmet Faruk Oktay |
| author_sort | Salih Aydın |
| collection | DOAJ |
| description | Objective:The aim of the study was to evaluate the efficacy of pressure dressing on complications after total thyroidectomy and its correlation with serum calcium levels.Methods:The study involved 112 patients who underwent total thyroidectomy. Patients were randomized into two groups-with and without pressure dressing-and followed prospectively. The calcium levels were measured at 6, 24, and 48 hours postoperatively, respectively. Hypocalcemia was diagnosed when patients were symptomatic or calcium level was below 8.0 mg/dL. Dressing and drain were removed at the 48th hour of postoperatively.Results:No statistically significant difference was found between the two groups in terms of age; gender; thyroid gland weight; calcium concentrations at the 6th, 24th, and 48th hours; total drain liquid; and hypocalcemia rates. Postoperative hematoma developed in 7.1% of the cases and was statistically higher in the without-dressing group compared to with-dressing group. Thyroid gland weight was correlated positively with total drain liquid. There was no correlation between thyroid gland weight and total drain liquid level and 6th-, 24th-, and 48th-hour calcium levels.Conclusion:Pressure dressing after total thyroidectomy significantly reduces postoperative hematoma. Postoperative serum calcium levels were slightly higher in the pressure dressing group but not statistically significant. |
| first_indexed | 2024-04-10T13:57:58Z |
| format | Article |
| id | doaj.art-b3f0c8f24cae451c9e5a565cc5bafe5f |
| institution | Directory Open Access Journal |
| issn | 2667-7474 |
| language | English |
| last_indexed | 2024-04-10T13:57:58Z |
| publishDate | 2014-06-01 |
| publisher | Galenos Yayincilik |
| record_format | Article |
| series | Turkish Archives of Otorhinolaryngology |
| spelling | doaj.art-b3f0c8f24cae451c9e5a565cc5bafe5f2023-02-15T16:10:25ZengGalenos YayincilikTurkish Archives of Otorhinolaryngology2667-74742014-06-01522576010.5152/tao.2014.54713049054The Impact of Pressure Dressing on Post-Thyroidectomy Hypocalcemia: Prospective Randomized Controlled Clinical StudySalih Aydın0Ümit Taşkın1Hasan Emre Koçak2Kadir Özdamar3Tülin Şentürk4Bilgehan Güntekin5Mehmet Faruk Oktay6 Clinic of Otolaryngology, Bağcılar Training and Research Hospital, İstanbul, Turkey Clinic of Otolaryngology, Bağcılar Training and Research Hospital, İstanbul, Turkey Clinic of Otolaryngology, Bağcılar Training and Research Hospital, İstanbul, Turkey Clinic of Otolaryngology, Bağcılar Training and Research Hospital, İstanbul, Turkey Clinic of Otolaryngology, Bağcılar Training and Research Hospital, İstanbul, Turkey Clinic of Otolaryngology, Bağcılar Training and Research Hospital, İstanbul, Turkey Clinic of Otolaryngology, Bağcılar Training and Research Hospital, İstanbul, Turkey Objective:The aim of the study was to evaluate the efficacy of pressure dressing on complications after total thyroidectomy and its correlation with serum calcium levels.Methods:The study involved 112 patients who underwent total thyroidectomy. Patients were randomized into two groups-with and without pressure dressing-and followed prospectively. The calcium levels were measured at 6, 24, and 48 hours postoperatively, respectively. Hypocalcemia was diagnosed when patients were symptomatic or calcium level was below 8.0 mg/dL. Dressing and drain were removed at the 48th hour of postoperatively.Results:No statistically significant difference was found between the two groups in terms of age; gender; thyroid gland weight; calcium concentrations at the 6th, 24th, and 48th hours; total drain liquid; and hypocalcemia rates. Postoperative hematoma developed in 7.1% of the cases and was statistically higher in the without-dressing group compared to with-dressing group. Thyroid gland weight was correlated positively with total drain liquid. There was no correlation between thyroid gland weight and total drain liquid level and 6th-, 24th-, and 48th-hour calcium levels.Conclusion:Pressure dressing after total thyroidectomy significantly reduces postoperative hematoma. Postoperative serum calcium levels were slightly higher in the pressure dressing group but not statistically significant. http://turkarchotolaryngol.net/archives/archive-detail/article-preview/the-mpact-of-pressure-dressing-on-post-thyroidecto/43389 total thyroidectomyhypocalcemiapressure dressingcomplication |
| spellingShingle | Salih Aydın Ümit Taşkın Hasan Emre Koçak Kadir Özdamar Tülin Şentürk Bilgehan Güntekin Mehmet Faruk Oktay The Impact of Pressure Dressing on Post-Thyroidectomy Hypocalcemia: Prospective Randomized Controlled Clinical Study Turkish Archives of Otorhinolaryngology total thyroidectomy hypocalcemia pressure dressing complication |
| title | The Impact of Pressure Dressing on Post-Thyroidectomy Hypocalcemia: Prospective Randomized Controlled Clinical Study |
| title_full | The Impact of Pressure Dressing on Post-Thyroidectomy Hypocalcemia: Prospective Randomized Controlled Clinical Study |
| title_fullStr | The Impact of Pressure Dressing on Post-Thyroidectomy Hypocalcemia: Prospective Randomized Controlled Clinical Study |
| title_full_unstemmed | The Impact of Pressure Dressing on Post-Thyroidectomy Hypocalcemia: Prospective Randomized Controlled Clinical Study |
| title_short | The Impact of Pressure Dressing on Post-Thyroidectomy Hypocalcemia: Prospective Randomized Controlled Clinical Study |
| title_sort | impact of pressure dressing on post thyroidectomy hypocalcemia prospective randomized controlled clinical study |
| topic | total thyroidectomy hypocalcemia pressure dressing complication |
| url |
http://turkarchotolaryngol.net/archives/archive-detail/article-preview/the-mpact-of-pressure-dressing-on-post-thyroidecto/43389
|
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