The Role of Valsalva Manoeuvre, in Thyroidectomy to Reduce Postoperative Bleeding
Conditions
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.
Interventions
PROCEDUREValsalva maneuver
Valsalva maneuver: increase intrabdominal pressure
Sponsors
University of Foggia
Study design
Observational model
CASE_CONTROL
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* thyroid diseases
Exclusion criteria
* lymph node dissection * minimally invasive approaches * high anesthesiological risk
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| 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. |
Countries
Italy
Outcome results
None listed