Does the Drain Can Prevent Hematoma After Thyroidectomy?
10.3342/kjorl-hns.2023.01228
- Author:
Sang Min LEE
1
;
Min Seok KIM
;
Seung Hoon WOO
;
Sang Joon LEE
;
Phil-Sang CHUNG
Author Information
1. Department of Otorhinolaryngology-Head and Neck Surgery, Dankook University College of Medicine, Cheonan, Korea
- Publication Type:Original Article
- From:Korean Journal of Otolaryngology - Head and Neck Surgery
2024;67(12):614-620
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Background and Objectives:Post-thyroidectomy hematoma is reported in about 0.7%- 2.1% of patients who underwent thyroidectomy. A drain is frequently placed after surgery to prevent swelling and hematoma. This study aims to compare clinical differences and postoperative complications depending on the presence or absence of a drain, and to identify the factors affecting hematoma after thyroidectomy.Subjects and Method This is a retrospective study of patients who underwent conventional thyroidectomy from March 2019 to Jun 2023. We examined patient’s age, gender, underlying diseases, use of antithrombotic drug, surgery type, thyroid volume, length of hospital stay and postoperative complications (hematoma and vocal cord palsy) by examining medical records.
Results:Of 587 patients enrolled in the study, the drain was placed in 369 (62.9%) patients, and not in 218 (37.1%) patients. The mean age, incidence of hypertension and Grave’s disease comorbidity, antithrombotic drug use, number of patients who underwent neck dissection, thyroid volume, operating time, and length of hospital stay were significantly higher in the drain placed group (p<0.05). But there was no significant difference in the ratio of vocal cord palsy and hematoma occurrence between the two groups. In logistic regression analysis, diabetes, the use of antithrombotic drugs, neck dissection, and larger thyroid volume were identified as risk factors for the occurrence of hematoma (p<0.05).
Conclusion:Surgeons tended to place the drain in patients with high bleeding tendency after thyroidectomy, but there was no difference in the incidence of hematoma according to drain placement. Rather, patients’ length of hospital stay increased due to the placement of drain.