Thyroid Surgery: To Drain or Not to Drain

A Randomized Clinical Trial.:

ORL J Otorhinolaryngol Relat Spec. 2017 Jul 15;79(4):202-211

Authors: Schietroma M, Pessia B, Bianchi Z, De Vita F, Carlei F, Guadagni S, Amicucci G, Clementi M

Abstract

PURPOSE: We conducted a prospective, randomized study to evaluate the necessity of drainage after thyroid surgery.

METHODS: The patients (n = 215) were randomly assigned to be treated with suction drains (group 1; n = 108) or not (group 2; n = 107).

RESULTS: The postoperative pain scores were significantly lower in the non-drained group than in the drained group of patients at postoperative days 0 and at 1. Hematomas, seromas, wound infections, transient biochemical hypoparathyroidism, and transient damage of the recurrent laryngeal nerve occurred more frequently in the drained group than in the non-drained group. The mean hospital stay was significantly shorter in the non-drained group than in the drained group.

CONCLUSIONS: Routine drain emplacement after thyroidectomy is unnecessary.

PMID: 28715809 [PubMed - as supplied by publisher]

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