Comparison of Natural Drainage Group and Negative Drainage Groups after Total Thyroidectomy: Prospective Randomized Controlled Study

Woo, Seung Hoon; Kim, Jin Pyeong; Park, Jung Je; Shim, Hyun Seok; Lee, Sang Ha; Lee, Ho Joong; Won, Sangchul; Son, Hee Young; Kim, Rock Bum; Son, Young‐Ik

doi:10.3349/ymj.2013.54.1.204

Cited by 23 publications

(19 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“… 12 A technique of temporary natural drainage has been used and could reduce blood loss after total thyroidectomy compared with continuous negative drainage. 20 Our results support the application of temporary natural drainage to reduce blood loss after TKA. Moreover, the TBL in this study was obviously less than other previous studies.…”

Section: Discussionsupporting

confidence: 76%

Effect of a 12-hour natural drainage technique on decreasing blood loss after total knee arthroplasty: a case-control study

Shi

Zhang

et al. 2018

TCRM

View full text Add to dashboard Cite

BackgroundDifferent methods of drainage have been used in patients with osteoarthritis after total knee arthroplasty (TKA), but the ideal strategy is controversial. This retrospective case-control study reported a technique of 12-hour natural drainage and aimed to confirm its efficacy and safety in the treatment for blood loss following TKA.MethodsThere were 231 patients divided into three groups who underwent TKA from January 2014 to July 2017: 76 patients underwent 12-hour natural drainage in Group A, 80 patients underwent 4-hour clamping drainage in Group B, and 75 patients underwent continuous drainage in Group C. All perioperative clinical data were reviewed for statistical analysis.ResultsThe drainage volume and total blood loss after TKA were significantly lower in Group A than that in the other two groups (P<0.05), and serum level of hemoglobin was significantly higher in Group A than that in the other two groups (P<0.05). The maximum of active motion of the knee was greater in Group C at 2 days (P<0.05). Significantly more patients in Group C required blood transfusions (P<0.05). No difference was found in the complication rate among the three groups.ConclusionThe 12-hour natural drainage is an effective technique for reducing blood loss for patients following TKA. Compared with temporary clamping drainage and continuous negative pressure drainage, 12-hour natural drainage decreases blood loss, reduces post-operative transfusion requirements, and does not increase the risk of complications. Therefore, this technique of 12-hour natural drainage is recommended to be used in patients after TKA.

show abstract

Section: Discussionsupporting

confidence: 76%

Effect of a 12-hour natural drainage technique on decreasing blood loss after total knee arthroplasty: a case-control study

Shi

Zhang

et al. 2018

TCRM

View full text Add to dashboard Cite

show abstract

“…A number of trials have compared different drainage types, with variable results. Drainage types and some other aspects, such as the use of haemostatic materials, cosmetic outcomes with the use of drains, and postoperative nausea and vomiting in relation to drain use, were not considered in the present meta‐analysis.…”

Section: Discussionmentioning

confidence: 99%

Systematic review and meta-analysis of wound drains after thyroid surgery

Woods

Duignan

et al. 2014

British Journal of Surgery

View full text Add to dashboard Cite

Background: Drainage after routine thyroid and parathyroid surgery remains controversial. However, there is increasing evidence from a number of randomized clinical trials (RCTs) suggesting no benefit from the use of drains.Methods: A systematic review and meta-analysis was performed according to PRISMA guidelines. A literature search was carried out, and RCTs comparing the use of drains versus no drains in patients who underwent thyroid or parathyroid surgery were included. Trials including patients who underwent lateral neck dissection were excluded. Methodological quality was graded and data were extracted by independent reviewers. Risk ratio (RR) or mean difference (MD) with 95 per cent confidence interval (c.i.) was calculated and heterogeneity was assessed.Results: Twenty-five RCTs were included in the meta-analysis comprising 2939 patients. There was no significant difference between the two groups in rate of reoperation for neck haematoma (RR 1·90, 95 per cent c.i. 0·87 to 4·14), ultrasound-assessed fluid volume on day 1 after surgery (MD 2·30 (95 per cent c.i. -0·73 to 5·34) ml), wound collection requiring intervention (RR 0·64, 0·38 to 1·09) or not (RR 0·93, 0·66 to 1·30), transient voice change (RR 2·33, 0·91 to 5·96) and persistent recurrent laryngeal nerve palsy (RR 1·67, 0·22 to 12·51). Length of hospital stay was significantly greater in the drain group (MD 1·25 (0·83 to 1·68) days), as were wound infection rates (RR 2·53, 1·23 to 5·21) and pain score measure using a visual analogue scale from 1 to 10 on day 1 after surgery (MD 1·46 (0·67 to 2·26) units). Conclusion:The results indicate that drain use after routine thyroid surgery does not confer a benefit to patients.

show abstract

“…Patients whose level of risk for the development of hypocalcemic symptoms is low could be discharged early, thereby reducing the inconvenience of hospitalization and its associated costs 5,9,15-17. If it is thought that the development of hypocalcemia symptoms is a possibility in patients who are discharged early, these symptoms might easily be resolved by prescribing emergency calcium agents at the time of discharge, thoroughly explaining the symptoms associated with hypocalcemia, and advising patients to take prescribed calcium agents and return to the hospital when unexpected symptoms occur.…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of an i-PTH Measurement in Predicting Post Thyroidectomy Hypocalcemia: Prospective Controlled Study

et al. 2013

Self Cite

View full text Add to dashboard Cite

PurposeHypocalcemia is the most common complication after total thyroidectomy. The purpose of this study was to determine whether measurement of intact parathyroid hormone (i-PTH) level in thyroidectomy patients could predict hypocalcemia.Materials and MethodsWe performed a prospective study of patients undergoing total thyroidectomy. Serum concentration of i-PTH, total calcium (Ca), ionized calcium (Ca2+), phosphate (P), magnesium (Mg), and albumin were measured preoperatively and at 0 hour, 6 hours, 12 hours, 24 hours, 48 hours, and 72 hours postoperatively.Results108 patients were recruited to the study. A total of 50 patients (46%) experienced hypocalcemia. The serum i-PTH concentration was linearly related to the time of measurement, while concentrations of P, Mg, albumin, Ca, and Ca2+ were not. We compared odds ratios, and found that the concentration of i-PTH at 6 hours post operation was the most closely related to the occurrence of hypocalcemic symptom. On ROC analysis using i-PTH level at 6 hours, an i-PTH level of 10.6 mg/dL was found to maximize both sensitivity and specificity at the same time point.ConclusionWe found that i-PTH was a predictor of hypocalcemia, and that the earliest predictor of hypocalcemic symptoms was an i-PTH concentration lower than 10.6 mg/dL obtained 6 hours after total thyroidectomy.

show abstract

Comparison of Natural Drainage Group and Negative Drainage Groups after Total Thyroidectomy: Prospective Randomized Controlled Study

Cited by 23 publications

References 13 publications

Effect of a 12-hour natural drainage technique on decreasing blood loss after total knee arthroplasty: a case-control study

Effect of a 12-hour natural drainage technique on decreasing blood loss after total knee arthroplasty: a case-control study

Systematic review and meta-analysis of wound drains after thyroid surgery

Effectiveness of an i-PTH Measurement in Predicting Post Thyroidectomy Hypocalcemia: Prospective Controlled Study

Contact Info

Product

Resources

About