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Revista chilena de cirugía

versão On-line ISSN 0718-4026

Resumo

PEREZ P, JUAN ANTONIO; URRUTIA SCH, VERÓNICA; SILVA C, PAULINA  e  MURUA A, ALEJANDRO. Selective use of drainages in thyroidectomy. Rev Chil Cir [online]. 2009, vol.61, n.6, pp.515-518. ISSN 0718-4026.  http://dx.doi.org/10.4067/S0718-40262009000600004.

Background: There is controversy about the universal use of drainages in thyroid surgery. Aim: To evaluate the selective use of drainages in thyroid surgery, using them only in patients with high risk of developing a cervical hematoma. Material and Methods: Eight four patients subjected to thyroid surgery, were prospectively evaluated. Drainages were only used in those patients in whom a big cavity was left after thyroidectomy, patients with intrathoracic goiter and patients subjected to lymph node dissection. Results: Drainages were omitted in 68 patients (81%) aged 18 to 68 years, 59 females. Forty four (65%) of these patients were subjected to a total thyroidectomy, 14 (21%) to a subtotal thyroidectomy and 10 (7%) to a lobectomy. In 19 cases (28%) the biopsy informed a papillary cancer, the rest were benign lesions. One patient had a cervical hematoma that required a new operation. Hospital stay ranged from 1 to 4 days. Conclusions: The selective use of drainages in thyroid surgery is feasible, safe and allows a shorter hospital stay.

Palavras-chave : Thyroidectomy; drainage; hematoma.

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