Wound drains following thyroid surgery

Samraj, Kumarakrishnan; Gurusamy, Kurinchi Selvan

doi:10.1002/14651858.cd006099.pub2

Cited by 112 publications

(84 citation statements)

References 50 publications

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“…Subcutaneous indwelling closed-suction drainage has been used in other types of surgery including breast and thyroid [9,39]. We have used the subcutaneous indwelling method for 3 years and have noted no particular problems with blood loss or wound complications.…”

Section: Introductionmentioning

confidence: 99%

Subcutaneous versus Intraarticular Indwelling Closed Suction Drainage after TKA: A Randomized Controlled Trial

Seo

Yoon

Koh

et al. 2010

Clinical Orthopaedics &Amp; Related Research

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Background TKA can involve substantial bleeding, and the issue regarding whether vacuum drainage should be used during TKA continues to be debated as both methods have disadvantages. Questions/purposes We therefore asked whether subcutaneous indwelling vacuum drainage is advantageous over intraarticular indwelling vacuum drainage in terms of blood drainage, bleeding-related complications, and functional outcomes in primary TKA. Patients and methods We randomized 111 patients undergoing TKAs to have either a subcutaneous indwelling or an intraarticular indwelling catheter and compared the two groups for blood loss (hemoglobin decrease, transfusion requirements, hypotension episode), incidence of wound problems (requirements for dressing reinforcement,

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Section: Introductionmentioning

confidence: 99%

Subcutaneous versus Intraarticular Indwelling Closed Suction Drainage after TKA: A Randomized Controlled Trial

Seo

Yoon

Koh

et al. 2010

Clinical Orthopaedics &Amp; Related Research

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“…Were surgical factors analyzed, such as the type of suture material used for ligation and whether routine use of hemostatic agents (e.g., oxidized cellulose polymer) played a role? We agree with the authors about not using drains routinely [5], but did the authors use a drain after reexploration?…”

Section: To the Editormentioning

confidence: 65%

A Novel Method for Managing Postthyroidectomy or Parathyroidectomy Hematoma: Single‐Institution Experience With More Than 4000 Central Neck Operations

2014

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“…Although drainage tubes may serve as a risk factor of SSI, closed drainage tube placed away from the skin incision site has decreased chance of SSI compared to otherwise (3). In thyroid operation, drainage tube and SSI was reported to have little correlation (21). In many cases of thyroid operations, drainage tubes are implanted to detect complications such as bleeding, and in this study, closed drainage tubes were used as for the same purpose in all subjects followed by removal of the tube when the amount of drainage is less than 30 mL (22).…”

Section: Discussionmentioning

confidence: 94%

Perioperative Antibiotic Prophylaxis May Not Be Required Routinely in Thyroid Surgery

Lee

Kim

et al. 2017

J Endocr Surg

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Purpose: Although perioperative antibiotic prophylaxis is used to prevent surgical site infection (SSI), thyroid surgery is classified as a clean surgical procedure and routine use of perioperative antibiotic prophylaxis is not recommend. The purpose of this study is to evaluate the therapeutic benefits of using perioperative antibiotic prophylaxis in thyroid surgery. Methods: We evaluated medical records of 1,895 patients who underwent thyroid surgery between January 2013 and December 2013. We divided 2 groups with or without perioperative antibiotic prophylaxis. Clinical factors including sex, age, body mass index (BMI), and comorbidity and surgical factors for SSI were analyzed. Results: The male to female ratio was 1:3.3, the average age was 43 (14-82) years old. The numbers of groups without and with antibiotic prophylaxis were 593 and 1,303. Thirty-seven cases (2.0%) of postoperative complications were observed including chyle leakage, SSI, and nerve injury. The SSI was occurred in 10 patients (0.5%). Clinical factors with SSI were analyzed and there was no statistical significance between 2 groups. Conclusion: In thyroid surgery, perioperative antibiotic prophylaxis may not be required routinely once the surgical procedure underwent with aseptic condition and the patients care was performed appropriately.

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Wound drains following thyroid surgery

Cited by 112 publications

References 50 publications

Subcutaneous versus Intraarticular Indwelling Closed Suction Drainage after TKA: A Randomized Controlled Trial

Subcutaneous versus Intraarticular Indwelling Closed Suction Drainage after TKA: A Randomized Controlled Trial

A Novel Method for Managing Postthyroidectomy or Parathyroidectomy Hematoma: Single‐Institution Experience With More Than 4000 Central Neck Operations

Perioperative Antibiotic Prophylaxis May Not Be Required Routinely in Thyroid Surgery

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