None listed
Conditions
Brief summary
Aim of this current study was to assess effectiveness of post-operative drain in preventing or lowering the incidence of post-operative complications (hematoma and seroma) after thyroid surgery. A comparison between both categories (drain/ no drain) was done with regards to the occurrence of post operative heamatoma , seroma , duration and expenses of in-patient ward admission
Interventions
: This is a cohort study which conducted from 02/08/2016 to 02/02/2019. Patients files and notes were reviewed in a retrospective manner. The entire participants had undergone open surgery in the form of total or subtotal thyroidectomy or lobectomy or hemithyroidectomy for benign thyroid disorders. And had been already admitted and discharged from the wards of Al-Imam Al-Hussein medical city hospital/University of Kerbala/Faculty of Medicine/Kerbala/Iraq. The selection of entire participants w
: This is a cohort study which conducted from 02/08/2016 to 02/02/2019. Patients files and notes were reviewed in a retrospective manner. The entire participants had undergone open surgery in the form of total or subtotal thyroidectomy or lobectomy or hemithyroidectomy for benign thyroid disorders. And had been already admitted and discharged from the wards of Al-Imam Al-Hussein medical city hospital/University of Kerbala/Faculty of Medicine/Kerbala/Iraq. The selection of entire participants was based on certain criteria. Those participants had been classified into two categories; drain and no drain categories. Drain category had drain inserted following the operation, while the no-drain category did not have drain following the operation. A comparison between both categories was done with regards to the following variables ;(i) the occurrence of post operative heamatoma (ii) the post operative seroma formation. (iii) The duration and expenses of in-patient ward admission. Statistical analysis was done using Pearson Chi-square test, Independent sample t test and Mann-Whitney U Test
Sponsors
University of Kerbala
Eligibility
Sex/Gender
All
Age
19 Years to No maximum
Healthy volunteers
No
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
Outcome results
None listed