Outpatient thyroidectomy: A feasibility study

Steckler, Robert M.

doi:10.1016/0002-9610(86)90315-6

Cited by 79 publications

(56 citation statements)

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“…Steckler 9 has also reported that outpatient thyroidectomy is safe and cost-effective. In his series, none of the 48 patients had postoperative bleeding.…”

Section: -8mentioning

confidence: 97%

Re‐operation for bleeding after thyroidectomy and parathyroidectomy

2001

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“…Steckler 9 has also reported that outpatient thyroidectomy is safe and cost-effective. In his series, none of the 48 patients had postoperative bleeding.…”

Section: -8mentioning

confidence: 97%

Re‐operation for bleeding after thyroidectomy and parathyroidectomy

2001

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“…2 In the 1990s, a description by Mowschenson and Hodin of short-stay thyroidectomy in 61 patients who underwent both lobectomies and total thyroidectomies met with significant criticism. 3 LoGerfo et al provided data on a substantial experience of short stay thyroidectomies, in which 134 patients were sent home 6 hours after surgery.…”

Section: Introductionmentioning

confidence: 97%

Outpatient thyroidectomy: Experience in over 200 patients

2010

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The initial favorable experience with outpatient thyroid surgery has been validated in this expanded patient population of more than 200 patients. In rare instances, readmission may be required secondary to transient hypocalcemia. Modern surgical techniques, avoidance of drains, and prophylactic calcium supplementation have combined to make outpatient thyroidectomy safe in carefully selected patients.

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“…[9][10][11][12][13][14][15][16][17][18][19][20][21] In the UK, the British Association of Day Surgery included thyroidectomy as a potential day-case procedure in 2001 but the 2011 consensus statement of the British Association of Endocrine and Thyroid Surgeons (BAETS) was more cautious, recommending that thyroidectomy should be a 'day-and-stay' procedure with a minimum length of stay of 23 hours. 22 This study examined the pattern and timing of post-thyroidectomy haemorrhage in a large interdisciplinary district hospital to identify potential risk factors for this complication as well as the extent to which its impact on preventing short stay thyroid surgery may be mitigated.…”

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confidence: 99%

Patterns, timing and consequences of post-thyroidectomy haemorrhage

Farooq

Nouraei

Kaddour

et al. 2017

annals

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INTRODUCTION Post-thyroidectomy bleeding is a low frequency but potentially life threatening event that is very difficult to predict. Given the increasing drive towards thyroidectomy with same day discharge, this study was conducted with the aim of identifying patterns, timing and consequences of post-thyroidectomy bleeding to assess the feasibility of day-case thyroidectomy. METHODS All patients who underwent a thyroidectomy between 2008 and 2015 at our institution were identified. Patterns, timing and consequences in all those who developed post-thyroidectomy bleeding were studied. RESULTS Of the 805 patients included in the study, 14 required re-exploration for bleeding; 7 (50%) of these within 8 hours of surgery, 6 (43%) between 18 and 30 hours, and 1 (7%) at 49 hours. Just under half (43%) of those with post-thyroidectomy bleeding had thyrotoxicosis. CONCLUSIONS A significant number of postoperative haemorrhages occurred beyond the immediate postoperative period. Same day discharge after thyroidectomy cannot therefore be recommended as a routine practice.

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Outpatient thyroidectomy: A feasibility study

Cited by 79 publications

References 0 publications

Re‐operation for bleeding after thyroidectomy and parathyroidectomy

Re‐operation for bleeding after thyroidectomy and parathyroidectomy

Outpatient thyroidectomy: Experience in over 200 patients

Patterns, timing and consequences of post-thyroidectomy haemorrhage

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