Drain or No Drain after thyroid surgery? A Retrospective Cohort Study

Not Applicable

Completed

• Conditions: Thyroid surgery; Metabolic and Endocrine - Thyroid disease

• Registration Number: ACTRN12619001582145
• Lead Sponsor: niversity of Kerbala

Brief Summary

Results: This research identified 233 patients from August 2016 to February 2019 with open approach surgery for thyroid gland in the form of total or subtotal thyroidectomy or lobectomy or hemithyroidectomy . 116 out of those 233 had got a draining process. 12 out of those 116 drain patients (0.1%) had got post-operation heamatoma formation , while 16 out of 117 no-drain patients (0.13%) had the same outcome. In addition, it had been found that 8 out of 116 drain participants (0.06%) had post-surgery seroma formation, while this figure was 11 out of 117 (0.09%) for participants with no drain . Meanwhile, the drain participants had statistically significant longer duration of admission in the hospital and more expenses

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Completion: 2019-02-02
• Study Start: 2019-11-18
• Last Update Posted: 25 November 2019

Recruitment & Eligibility

• Status: Completed
• Sex: All
• Target Recruitment: 233

Inclusion Criteria

Participants had been enrolled in this study regardless of age, sex and race. This research included only the participants with almost similar parameters and care before, during and after the surgery so as to prevent any bias. This research included only the participants with specific inclusion criteria. These inclusion criteria were (i)benign thyroid disorders only (ii)total or subtotal thyroidectomy or lobectomy or hemithyroidectomy (iii) the indication of surgery was due to underactive thyroid or hyperactive thyroid or due to obstructive symptoms in terms of dysphagia or dyspnea (iv) open thyroid surgery (v)first time surgery (no history of previous thyroid surgery) (vi) all the patients should received proper thyroid disease assessment protocol in the form of proper history, physical examination and full investigations

Exclusion Criteria

The research did not include patients with: (i) endoscopic thyroid surgery (ii) malignant thyroid disorders (iii) thyroid removed due to cosmetic appearance (iv) immunologically compromised patient such as diabetic patients or patients with AIDS or patients on long period steroid therapy or others (v) Patients with co-morbidities such as hypertension or blood disorders or patients with chronic use of anti-coagulants or antiplatelets. (vi) Patients who had their operations operated by inexpert surgeons. (vii) patients who had thyroid surgery before (revision surgery) (viii) very large goiter or very aggressive graves diseases with hyper-vascularity

Study & Design

• Study Type: Observational
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
The occurrence of post-operative complications : hematoma and seroma. This is via the review of patients notes and files retrospectively [during the post-operative days]

Secondary Outcome Measures

Name	Time	Method
duration of hospital admission [post operative admission period];hospital expenses [pre and post operative days of admission ]