SavedAdd your journal

Journals / Şişli Etfal Hastanesi Tıp Bülteni / 2019 / Cilt: 53 - Sayı: 4

Postoperative Bleeding after Thyroid Surgery: Care Instructions

Alessandro PONTIN
Antonella PINO
Ettore CARUSO
Giulia PINTO
Giuseppinella MELITA
De Pasquale MARIA
Gianlorenzo DIONIGI
Pages
329–336
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Early recognition ofpostoperative bleeding with immediate intervention is the key to the management of this complication.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Prospective studies on the incidence, etiology, and prognosis of well-characterized patients with bleeding after thyroid surgeryare lacking.
📊
Key Findings & Data:This requires an intensivepostoperative clinical monitoring of patients, ideally, in a recovery room with trained staff for at least 4-6 h.
💡
Conclusion & Impact:Early recognition ofpostoperative bleeding with immediate intervention is the key to the management of this complication.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Özet

Prospective studies on the incidence, etiology, and prognosis of well-characterized patients with bleeding after thyroid surgeryare lacking. Bleeding after thyroid surgery cannot be predicted or prevented even if risk factors are known in every single procedure, which enhances the im-portance of the following issues: (a) meticulous hemostasis and surgical technique; (b) coopera-tionwith the anesthesiologist, i.e., controlling the Valsalva maneuver, adequate blood pressure at the end of the operation as well asat extubation phase and (c) in case of bleeding, a prompt management to guarantee a better outcome. This requires an intensivepostoperative clinical monitoring of patients, ideally, in a recovery room with trained staff for at least 4-6 h. Early recognition ofpostoperative bleeding with immediate intervention is the key to the management of this complication.

🔖

Cite This Article

PONTIN, A., PINO, A., CARUSO, E., PINTO, G., MELITA, G., MARIA, D. P., DIONIGI, G. (2019). Postoperative Bleeding after Thyroid Surgery: Care Instructions. Şişli Etfal Hastanesi Tıp Bülteni, Cilt: 53 - Sayı: 4, 329–336. https://ajindex.com/articles/364182

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (13)

  1. Bergamaschi R, Becouarn G, Ronceray J, Arnaud JP. Morbidity of thyroid surgery. Am J Surg 1998;176:71–5
  2. Bergenfelz A, Jansson S, Kristoffersson A, Mårtensson H, Reihnér E, Wallin G, et al. Complications to thyroid surgery: results as reported in a database from a multicenter audit comprising 3,660 patients. Langenbecks Arch Surg 2008;393:667–73
  3. Burkey SH, van Heerden JA, Thompson GB, Grant CS, Schleck CD, Farley DR. Reexploration for symptomatic hematomas after cervical exploration. Surgery 2001;130:914–20
  4. Campbell MJ, McCoy KL, Shen WT, Carty SE, Lubitz CC, Moalem J, et al. A multi-institutional international study of risk factors for hematoma after thyroidectomy. Sur-gery 2013;154:1283–91
  5. Contin P, Gooßen K, Grummich K, Jensen K, Schmitz-Winnenthal H, Büchler MW, et al. ENERgized vessel sealing systems versus CONventional hemostasis techniques in thyroid surgery--the ENERCON systematic review and network meta-analysis. Langenbecks Arch Surg 2013;398:1039–56
  6. Dixon JL, Snyder SK, Lairmore TC, Jupiter D, Govednik C, Hendricks JC. A novel method for the management of post-thyroidectomy or parathyroidectomy hematoma: a single-institution experience after over 4,000 central neck operations. World J Surg 2014;38:1262–7
  7. Doran HE, England J, Palazzo F; British Association of Endocrine and Thyroid Sur-geons. Questionable safety of thyroid surgery with same day discharge. Ann R Coll Surg Engl 2012;94:543–7
  8. Garas G, Okabayashi K, Ashrafian H, Shetty K, Palazzo F, Tolley N, et al. Which he-mostatic device in thyroid surgery? A network meta-analysis of surgical technologies. Thyroid 2013;23:1138–50
  9. Godballe C, Madsen AR, Pedersen HB, Sørensen CH, Pedersen U, Frisch T, et al. Post-thyroidectomy hemorrhage: a national study of patients treated at the Danish de-partments of ENT Head and Neck Surgery. Eur Arch Otorhinolaryngol 2009;266:1945–52
  10. Lang BH, Yih PC, Lo CY. A review of risk factors and timing for postoperative hema-toma after thyroidectomy: is outpatient thyroidectomy really safe? World J Surg 2012;36:2497–502
  11. Lee HS, Lee BJ, Kim SW, Cha YW, Choi YS, Park YH, et al. Patterns of Post-thyroidectomy Hemorrhage. Clin Exp Otorhinolaryngol 2009;2:72–7
  12. Leyre P, Desurmont T, Lacoste L, Odasso C, Bouche G, Beaulieu A, et al. Does the risk of compressive hematoma after thyroidectomy authorize 1-day surgery? Langenbecks Arch Surg 2008;393:733–7
  13. Morton RP, Mak V, Moss D, Ahmad Z, Sevao J. Risk of bleeding after thyroid