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Drainage after thyroid surgery: a prospective randomized study

Published online by Cambridge University Press:  29 June 2007

Christian Debry ,
Guy Renou  and
Abe Fingerhut
Christian Debry*
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Leon Toulhadjian Hospital, Poissy, France.
Guy Renou
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Leon Toulhadjian Hospital, Poissy, France.
Abe Fingerhut
Affiliation:
Department of Surgery, Leon Toulhadjian Hospital, Poissy, France.
*
Address for correspondence: Christian Debry, Hopital Leon Toulhadjian, 10, rue due Champ Gaillard, 78303 Poissy Cédex, France. Fax: (0033) 1 39 27 44 31
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Abstract

Between November, 1996 and May, 1997 a series of 100 consecutive unselected patients undergoing all types of thyroid surgery – including even those inducing large dead space e.g. substernal goitre and carcinoma thyroid with recurrent nerve dissection – were randomly allotted to either receive drainage (n = 43) or not (n = 57). Patients with cervical dissection for lymph node metastasis were not included. Severe intra-operative haemorrhage was not a reason for exclusion. No complications such as haematoma or seroma were found in the undrained group whereas only minor complications such as haematoma (n = 4) were noted in the drained group. Whatever the group, none of the patients required reexploration. The difference in overall hospital stay (1.72 days in the group of undrained patients versus 2.09 days in the drained group) was not statistically significant.

Keywords

Thyroid gland, surgeryDrainagerandomized controlled trial
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 113 , Issue 1 , January 1999 , pp. 49 - 51
Copyright
Copyright © JLO (1984) Limited 1999

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References

Ayyash, K., Khammash, M., Tibblin, S. (1991) Drain vs no drain in primary thyroid and parathyroid surgery. European Journal of Surgery 157: 113–114.Google ScholarPubMed
Kristoffersson, A., Sandzen, B., Jarhult, J. (1986) Drainage in uncomplicated thyroid and parathyroid surgery. British Journal of Surgery 73: 121–122.CrossRefGoogle ScholarPubMed
Mok, C. O., King, W. W. K., Paterson-Brown, S., Mitchell, R. D., Li, A. K. C. (1992) Suction drainage after thyroidectomy – is it necessary? Poster presentation at the Third International Conference on Head and Neck Cancer, San Francisco.Google Scholar
Ruark, D. S., Abdel-Misih, R. Z. (1992) Thyroid and parathyroid surgery without drains. Head and Neck 14: 285–287.CrossRefGoogle ScholarPubMed
Schwarz, W., Willy, C., Ndjee, C., Gerngross, H. (1996) Gravity or suction drainage in thyroid surgery? Control of efficacy with ultrasound determination of residual hematoma. Archives of Surgery 381: 337–342.Google ScholarPubMed
Shaha, A. R., Jaffe, B. M. (1993) Selective use of drains in thyroid surgery. Journal of Surgical Oncology 52: 241–243.CrossRefGoogle ScholarPubMed
Taboul, F., Peix, J. L., Guibaud, L., Massard, J. L., Ecochard, R. (1992) Drainage prophylactique apreès thyroidectomie: un essai randomise. Annales de Chirurgie 46: 902–904.Google Scholar
Wax, M. K., Valiulis, A. P., Hurst, M. K. (1995) Drains in thyroid and parathyroid surgery. Are they necessary? Archives of Otolaryngology – Head and Neck Surgery 121: 981–983.CrossRefGoogle ScholarPubMed
Wihlborg, O., Bergljung, L., Mätensson, H. (1988) To drain or not to drain in thyroid surgery. A controlled clinical study. Archives of Surgery 123: 40–41.CrossRefGoogle ScholarPubMed