Valsalva Maneuver in Thyroidectomy
- Conditions
- The Role of Valsalva Manoeuvre, in Thyroidectomy to Reduce Postoperative Bleeding
- Interventions
- Procedure: Valsalva maneuver
- Registration Number
- NCT05474261
- Lead Sponsor
- University of Foggia
- Brief Summary
Bleeding after total thyroidectomy remains a rare event that affects early postoperative morbidity, occurring in 0.3% up to 4.2% of cases. Intraoperative bleeding is an unpleasant complication, and it is often easily manageable though postoperative bleeding may represent a life-threatening condition for the patient.
Between January 2019 to February 2022 , 250 consecutive patients were listed for thyroidectomy. The Investigators selected 178 patients and divided them in two groups based on the execution of the Valsalva Manoeuvre.
The purpose of the investigator is to clarify whether the routine intraoperative execution of a Valsalva manoeuvre (VM) may affect the detection of bleeding that would otherwise remain occult and therefore may manifest in the postoperative period.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 178
- thyroid diseases
- lymph node dissection
- minimally invasive approaches
- high anesthesiological risk
Study & Design
- Study Type
- OBSERVATIONAL
- Study Design
- Not specified
- Arm && Interventions
Group Intervention Description GROUP B- Valsalva maneuver Valsalva maneuver -
- Primary Outcome Measures
Name Time Method Volume of cervical drainage after total thyroidectomy 24 hours Bleeding after thyroidectomy is evaluated based on the total volume of cervical drainage output (ml)
Number of reinterventions 24 hours Reoperations to resolve post thyroidectomy bleeding, which can cause airway compression and choking signs and symptoms.
- Secondary Outcome Measures
Name Time Method
Trial Locations
- Locations (1)
Policlinico Di Foggia
🇮🇹Foggia, Italy