Is it Necessary to use Drain after Thyroid Surgeries? A Prospective Randomised Clinical Trial
Introduction: In the past, drains were used in thyroid surgeries due to the fear from hematoma and airway obstruction. However, the utilization of this technique is not generally accepted nowadays and some surgeons prefer not to use it. Aim: To investigate the advantages and disadvantages of dra...
Main Authors: | , , , , , |
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Format: | Article |
Language: | English |
Published: |
JCDR Research and Publications Private Limited
2017-12-01
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Series: | Journal of Clinical and Diagnostic Research |
Subjects: | |
Online Access: | https://jcdr.net/articles/PDF/10965/29864_CE(_)_F(AK)_PF1_(BT_PB_SG_VG)_PFA(MJ_AP).pdf |
Summary: | Introduction: In the past, drains were used in thyroid surgeries
due to the fear from hematoma and airway obstruction. However,
the utilization of this technique is not generally accepted
nowadays and some surgeons prefer not to use it.
Aim: To investigate the advantages and disadvantages of drain
application in thyroidectomy.
Materials and Methods: In this clinical trial, 180 patients
undergoing thyroidectomy surgery between January 2013 to
March 2015, were randomly assigned into two groups of with
and without drain by random allocation. The patients were visited
in the first, third and 30th day after the surgery and were examined
for post-operative complications, such as hematoma, seroma,
infection, transient hypocalcaemia and recurrent laryngeal nerve
paralysis. The demographic information and informed consent
were collected from all subjects. Data were analysed using
chi-square and t-test tests. A p-value <0.05 was considered
significant.
Results: None of the patients in both groups showed hematoma,
seroma, infection or recurrent laryngeal nerve injury. Sixteen
patients 17.7 (45.7%) in the no-drain group and 19 patients
21.1 (54.3%) in the drain group had transient hypocalcaemia on
the first day, but the difference was not significant. Duration of
the surgery in the group without drain (131.94±38.85 min) was
significantly less than in the group with drain (147.22±39.31 min)
(p=0.009). The duration of hospitalisation in the no-drain group
(2.18±0.08 days) was less than the group with drain (2.36±0.67
days), but the difference was not significant.
Conclusion: The results of the study indicated that lack of use
of drains was not associated with any complications, but also
could reduce the patients’ discomfort. Therefore, drain use after
thyroidectomy seems not to be necessary, at least in patients. |
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ISSN: | 2249-782X 0973-709X |