DRAIN VS. NO DRAIN SHORT TERM COMPLICATIONS IN PRIMARY THYROID SURGERY

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GHANDILI L.; ENSHAEI A.; MAHOURI A.R.; POURGHASEM J.

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Journal: Studies in Medical Sciences Year:2007 | Volume:18 | Issue:2 Page(s): 480-484

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Information Journal Paper

Title

DRAIN VS. NO DRAIN SHORT TERM COMPLICATIONS IN PRIMARY THYROID SURGERY

Author(s)

GHANDILI L. | ENSHAEI A. | MAHOURI A.R. | POURGHASEM J. | Issue Writer Certificate

Keywords

THYROIDECTOMYQ3

COMPLICATINSQ3

DRAINQ3

Abstract

Backgrounds & Aims: In the past, use of DRAIN in thyroid surgeries was generally advised because of the fear of post operative hematoma and airway obstruction. This method is not approved by some surgeons. However, to our knowledge no study has shown the benefits of DRAINage. For this reason, we designed a study to evaluate the benefits or disadvantages of this technique.Materials & Methods: In a randomized prospective analytic study 60 patients undergoing THYROIDECTOMY were studied for one year (from 1/1/1384 to 1/1/1385) in two groups: A (with DRAIN) and B (without DRAIN). The patients were assessed and physically examined, at the first, third and thirty days after operation. Patients with substernal thyroid, coaglopathy and need for modified radical neck dissection were excluded from this study.Results: One patient from each both groups was needed to be reoperated due to hematoma and airway obstruction, on the first postoperative day. Statistical analysis showed no differences between two groups according to hematoma, bleeding and seroma. The length of hospital staying time was significantly shorter in the undrain group. (Mean 2.13±0.34 versus 3.03±1.09 day, p = 0.0001). Most of patients in no DRAIN group were ready for discharge within 24-48 hours after surgery.Conclusion: This study demonstrates that the uses of DRAIN doesn’t prevent massive hematoma, airway obstruction, and needs meticulous dissection and transoperative hemostasis. We concluded that, use of DRAINage has no benefit after uncomplicated primary thyroid surgery and should be used selectively.

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APA: Copy

GHANDILI, L., ENSHAEI, A., MAHOURI, A.R., & POURGHASEM, J.. (2007). DRAIN VS. NO DRAIN SHORT TERM COMPLICATIONS IN PRIMARY THYROID SURGERY. STUDIES IN MEDICAL SCIENCE (THE JOURNAL OF URMIA UNIVERSITY OF MEDICAL SCINCES), 18(2), 480-484. SID. https://sid.ir/paper/63759/en

Vancouver: Copy

GHANDILI L., ENSHAEI A., MAHOURI A.R., POURGHASEM J.. DRAIN VS. NO DRAIN SHORT TERM COMPLICATIONS IN PRIMARY THYROID SURGERY. STUDIES IN MEDICAL SCIENCE (THE JOURNAL OF URMIA UNIVERSITY OF MEDICAL SCINCES)[Internet]. 2007;18(2):480-484. Available from: https://sid.ir/paper/63759/en

IEEE: Copy

L. GHANDILI, A. ENSHAEI, A.R. MAHOURI, and J. POURGHASEM, “DRAIN VS. NO DRAIN SHORT TERM COMPLICATIONS IN PRIMARY THYROID SURGERY,” STUDIES IN MEDICAL SCIENCE (THE JOURNAL OF URMIA UNIVERSITY OF MEDICAL SCINCES), vol. 18, no. 2, pp. 480–484, 2007, [Online]. Available: https://sid.ir/paper/63759/en

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