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Published in: Langenbeck's Archives of Surgery 3/2006

01-06-2006 | Current Concepts in Endocrine Surgery

Thyroid surgery: postoperative hematoma—prevention and treatment

Authors: Jane Harding, Frederic Sebag, Mauricio Sierra, F. Fausto Palazzo, Jean-François Henry

Published in: Langenbeck's Archives of Surgery | Issue 3/2006

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Abstract

Background and aims

Postoperative haematoma formation is a fortunately rare but potentially life-threatening complication of thyroid surgery. This paper aims to identify potential aetiological factors, describe surgical techniques and newer haemostatic agents that may be used to minimise the risk of haematoma formation and propose surgical strategies to deal with haematoma formation.

Materials and methods

An extensive literature search as well as own considerable experience in a tertiary referral centre endocrine surgical unit was drawn upon to review this topic.

Conclusions

Postoperative haematoma may have a multifactorial aetiology. Numerous manoeuvres and surgical haemostatic agents may be employed to minimise the risk of haematoma formation but are no substitute for meticulous haemostasis. In the event of haematoma formation, early surgical re-intervention is strongly advocated with due care given to at risk structures.
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Metadata
Title
Thyroid surgery: postoperative hematoma—prevention and treatment
Authors
Jane Harding
Frederic Sebag
Mauricio Sierra
F. Fausto Palazzo
Jean-François Henry
Publication date
01-06-2006
Publisher
Springer-Verlag
Published in
Langenbeck's Archives of Surgery / Issue 3/2006
Print ISSN: 1435-2443
Electronic ISSN: 1435-2451
DOI
https://doi.org/10.1007/s00423-006-0028-6

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