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Surgery Today
Published in: Surgery Today 12/2020

01-12-2020 | Thyroid Disease | Original Article

Redo thyroid surgery without drains

Authors: Bassam Abboud, Alaa El-kheir

Published in: Surgery Today | Issue 12/2020

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Abstract

Purpose

Redo thyroid surgery is associated with higher risk of hematoma than the initial thyroid surgery. We report a single surgeon’s experience of performing redo thyroid surgery without drains.

Methods

This retrospective single-institutional study evaluates the safety and efficiency of redo thyroid surgery without drains by comparing three groups of patients: those who underwent primary bilateral thyroidectomy (Group 1), those who underwent completion thyroidectomy (Group 2); and those who underwent thyroidectomy for recurrent thyroid diseases (Group 3).

Results

The demographic characteristics did not differ among the groups. Substernal extension and hyperthyroidism were more frequent in group 1, whereas the weight of the resected thyroid gland was lower in groups 2 and 3. Hematoma occurred in 5%, 4%, and 4% of patients in Groups 1, 2, and 3, respectively. Postoperative transient hypocalcemia occurred in 19%, 16%, and 21% of patients in Groups 1, 2, and 3 respectively. The postoperative incidence of transient recurrent laryngeal nerve (RLN) paralysis in Groups 1, 2, and 3, was 6%, 7%, and 8%, respectively. The incidence of permanent unilateral RLN paralysis in Groups 2 and 3 was 1%. The postoperative length of stay was 1 day in 92% of the patients from all groups.

Conclusions

Avoiding the routine use of drains in redo thyroid surgery is safe and effective, it does not increase overall surgical morbidity, and it reduces the overall length of stay in hospital.
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Metadata
Title
Redo thyroid surgery without drains
Authors
Bassam Abboud
Alaa El-kheir
Publication date
01-12-2020
Publisher
Springer Singapore
Published in
Surgery Today / Issue 12/2020
Print ISSN: 0941-1291
Electronic ISSN: 1436-2813
DOI
https://doi.org/10.1007/s00595-020-02065-9

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