Official publication of Rawalpindi Medical University
Thyroidectomy with Drain and Without drain; A Clinical Comparative Study

Supplementary Files

PDF

Keywords

Thyroidectomy, thyroidectomy with drain, thyroidectomy without drain

How to Cite

1.
Saleem M, Saba S, Saqib K, Alamgir A, Tabassam S, Rashid Z. Thyroidectomy with Drain and Without drain; A Clinical Comparative Study. JRMC [Internet]. 2023 Apr. 1 [cited 2024 Jun. 15];27(1). Available from: http://www.journalrmc.com/index.php/JRMC/article/view/2031

Abstract

Background: Thyroidectomy is one of the most difficult surgical procedures. The study aims to compare the thyroidectomy procedure with drain placement and without drain concerning the hospital stay, Postoperative complications, and pain assessment using a visual analog scale.

Methods: A prospective comparative study was designed in the Department of otorhinolaryngology & Head Neck Surgery---removed for blind review----. A total of 117 patients were enrolled in the study from which 9 were excluded due to loss of follow-up. The patients were divided into two groups by using computer-generated randomized numbers containing sealed envelopes. Both groups contained 54 patients. Group A patients with a drain placed while group B contained patients without a drain. The patients with drain have a longer hospital stay and reported increased pain as compared to the patients with drainless thyroidectomy.

Results: The mean age and standard deviation calculated for the patients enrolled in both groups after randomization was 13.28  42.5 and 12.18  43.9 in groups A and B respectively. The mean ages were statistically insignificant. However, Postoperative variables such as length of hospital stay and post-operative pain by visual analog scale were assessed. The hospital stays of the patients with a drain placed was found statistically significant with a P-value < 0.05 Postoperative pain assessed by visual analog scale was also significant having a P-value <0.05 for patients having stayed for 2 to 4 days.

Conclusion: Placement of drain after thyroidectomy saves the patient from life-threatening complications but at the same time increases the post-operative pain on day one and increases the length of hospital stay of the patient. The routine practice of drain placement should be avoided unless there must be a risk of the development of hematoma or seroma.

 

https://doi.org/10.37939/jrmc.v27i1.2031

References

Prichard RS, Murphy R, Lowry A, McLaughlin R, Malone C, Kerin MJ. The routine use of post-operative drains in thy¬roid surgery: an outdated concept. Irish Medical Journal 2010;103:26- 7.

Sapalidis, K., Strati, T., Anastasiadis, I., Panteli, N., Liavas, L., Kesisoglou, I., & Kanellos, I. (2014). Total thyroidectomy without the use of drainage - case series of 66 patients. Current health sciences journal, 40(1), 57–59. https://doi.org/10.12865/CHSJ.40.01.11

EMMI, Shaileshkumar M.; AMARNATH REDDY, M.. Thyroidectomy with and without drains: a clinical comparative study. International Surgery Journal, [S.l.], v. 6, n. 5, p. 1584-1588, apr. 2019. ISSN 2349-2902. Available at: <https://www.ijsurgery.com/index.php/isj/article/view/3207>. Date accessed: 20 sep. 2022. doi:http://dx.doi.org/10.18203/2349-2902.isj20191874.

Colak T, Akca T, Turkmenoglu O, Canbaz H, Ustunsoy B, Kanik A, et al. Drainage after total thyroidectomy or lo¬bectomy for benign thyroidal disorders. Journal of Zhejiang University Science B: Biomedicine & Biotechnology 2008;9:319-23.

Deveci U, Altintoprak F, Sertan Kapakli M, Manukyan MN, Cubuk R, Yener N, et al. Is the use of a drain for thyroid surgery realistic? A prospective randomized interventional study. Journal of Thyroid Research. 2013;2013:285768.

Kalemera Ssenyondo E, Fualal J, Jombwe J, Galukande M. To drain or not to drain after thyroid surgery: a randomized controlled trial at a tertiary Hospital in East Africa. African Health Sciences. 2013;13:748-55.

Shil NA, Chowdhury MA, Islam MS. Thyroidectomy without drain. Bangladesh Journal of Otorhinolaryngology. 2020 Jul 1;26(1):41-4.

Emmi SM, Reddy MA. Thyroidectomy with and without drains: a clinical comparative study. International Journal of Surgery 2019;6:1584-8.

Neary PM, O'Connor OJ, Shafiq A, Quinn EM, Kelly JJ, Juliette B, et al. The impact of routine open non suction drainage on fluid accumulation after thyroid surgery: a prospective randomized clinical trial. World Journal of Surgical Oncology 2012;28;10:72.

Tian, J., Li, L., Liu, P. et al. Comparison of drain versus no-drain thyroidectomy: a meta-analysis. European Archives of Otorhinolaryngology 274, 567–577 (2017). https://doi.org/10.1007/s00405-016-4213-0

Hurtado-Lopez LM, Lopez-Romero S, RizzoFuentes C, Zaldivar-Ramirez FR, CervantesSanchez C. Selective use of drains in thyroid surgery. Head Neck. 2001;23:189-93

Creative Commons License

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

Copyright (c) 2023 Muhammad Saleem, Sarwat Saba, Khurram Saqib, Ashar Alamgir, Sumara Tabassam, Zakariya Rashid