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Thyroidectomy: no place for routine drainage- experience of two centres

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dc.contributor.author Fernando, R.
dc.contributor.author Esufali, S. T.
dc.date.accessioned 2019-02-18T06:23:21Z
dc.date.available 2019-02-18T06:23:21Z
dc.date.issued 2003
dc.identifier.citation The Annual Sessions of the College of Surgeons of Sri Lanka and SAARC Surgical Care Society.2003, P. 222. en_US
dc.identifier.uri http://repository.kln.ac.lk/handle/123456789/19938
dc.description Free Papers Abstract, The Annual Sessions of the College of Surgeons of Sri Lanka and SAARC Surgical Care Society,13rd -17th August 2003 Kandy, Sri Lanka. en_US
dc.description.abstract INTRODUCTION: Insertion of drains following thyroidectomy is considered a 'hallowed' practice. This practice has remained unchallenged because of fear and tradition. There is sufficient scientific evidence to show that routine drainage following thyroidectomy is not necessary. METHODS: Twosimultaneousprospective studieswere undertaken at University Surgical uriits of'Kelaniya and Peradeniya 150 patients undergoing elective thyroidectomy from 1999to 2002 were included in thestudy, The researcher in Kelaniya had NOT undertaken routine drainage for several years arid 100 consecutivepatientsundergoingthyroidectomywithout drainage were included in the study In Peradeniya 25 patients underwent thyroidectomy with drains and 25 patients underwent thyroidectomy without drains. All types of thyroidectomies were included in the study. Total- Thyroidectomy - 23 (Kelaniya) ,- 03 (Peradeniya) Subtoal - thyroidectomy - IO (Kelaniya),- 29 (Peradeniya) Thyroid- Lobectomy - 55 (Kelaniya) ,- 18 (Peradeniya) Redo- Thyroidectomies - 12 (Kelaniya) Parameters assessed: 1. Prospective complications - Wound infection, Haematoma, Hypocalcaernia and Recurrent laryngeal nerve injury 2 Re-exploration and indications RESULTS: Wound infection rate:With drains-8% Hypocalcaemia-1%(permanent) Without drains-0% (both groups) Wound Haematoma: With drains-6% Nerve injury-2% (transient) Without drains-2%(Seroma) (both groups) No patient required re-exploration for a life threatening complication in either group. CONCLUSIONS: 1. Thyroidectomy without drainage can be done safely. 2. Routine drainage in thyroidectomy is NOT indicated en_US
dc.language.iso en en_US
dc.publisher The College of Surgeons of Sri Lanka and SAARC Surgical Care Society en_US
dc.subject Thyroidectomy en_US
dc.title Thyroidectomy: no place for routine drainage- experience of two centres en_US
dc.type Conference abstract en_US


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