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Journals / Endokrinolojide Diyalog Dergisi / 2013 / Cilt: 10 - Sayı: 4

Life threatening bleeding late after thyroidectomy

Tiroidektomi sonrası geç dönemde ortaya çıkan hayatı tehdit edici kanama

Ümit KOÇ
Burhan MAYİR
Ayşe MERTER ARDUÇOĞLU
Uğur DOĞAN
Mehmet Tahir ORUÇ
Pages
142–144
Publication Date
2022-10-11
DOI
—
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AI Summary & Key Takeaways

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

In selected cases, suturation of big vessels can decrease bleeding ratio.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Postoperative bleeding is a rare cause of mortality after thyroid surgery.
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Key Findings & Data:Most of life threatening bleeding ocuur after 4 to 6 hours after surgery, rarely can be seen after 24 hours.In this article we present a case in whom we experienced life threatening bleeding late after thyroidectomy.
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Conclusion & Impact:In selected cases, suturation of big vessels can decrease bleeding ratio.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Postoperative bleeding is a rare cause of mortality after thyroid surgery. Most of life threatening bleeding ocuur after 4 to 6 hours after surgery, rarely can be seen after 24 hours.In this article we present a case in whom we experienced life threatening bleeding late after thyroidectomy. During operation ultrasonic coagulation device was used for coagulation of vessels. Total thyroidectomy was performed a 54 year old female patient. She had a sudden swelling of throat, dyspnea and cyanosis after coughing. Hematoma was drained immediately at bed of patient by opening sutures. Afterwards she was taken to operation room, bleeding from right upper polar artery was recognised and tied. Patients must be followed after thyroidectomy for bleeding at least for 24 hours. In selected cases, suturation of big vessels can decrease bleeding ratio.

Özet

Tiroit cerrahisinde nadir bir mortalite sebebi ameliyat sonrası kanamadır. Hayatı tehdit edici kanamaların çok büyük çoğunluğu ameliyat sonrası 4-6 saat içinde ortaya çıkarken, az bir kısmı 24 saatten sonra ortaya çıkmaktadır. Bu makalede vasküler yapıları bağlamak için sütür kullanılmadan sadece ultrasonik koagülasyon cihazı kullanılarak yapılan tiroidektomi sonrası geç dönemde hayatı tehdit edici kanama gelişen bir olgu sunulmuştur. Ellidört yaşında bayan hastaya total tiroidektomi yapıldı. Tiroidektomi sonrası 30. saatte ani bir öksürme sonrası boyunda ani gelişen şişme, nefes darlığı ve siyanoz gelişti. Yatak başında kesi yeri açılarak hematom drene edildi. Ameliyata alınan hastanın sağ üst kutup arterinden aktif kanama görülerek kontrol edildi. Tiroidektomi sonrası nadirde olsa geç dönemde kanama görülebileceği düşünülerek hastaların en az 24 saat izlenmesi önerilmektedir. Koagülasyon cihazları kullanılarak yapılan tiroidektomilerde seçilmiş hastalarda büyük vasküler yapıların en az bir kere sütür ile bağlanması ameliyat sonrası kanama oranlarını azaltabilir.

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Cite This Article

KOÇ, Ü., MAYİR, B., ARDUÇOĞLU, A. M., DOĞAN, U., ORUÇ, M. T. (2022). Life threatening bleeding late after thyroidectomy. Endokrinolojide Diyalog Dergisi, Cilt: 10 - Sayı: 4, 142–144. https://ajindex.com/articles/500700

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References (13)

  1. Durgun C, Böyük A, Girgin S, ve ark. Multinodüler guatrlarda total ve subtotal tiroidektominin erken dönem komplikasyonlarının karşılaştırılması. Ulus Cer Derg 2011;27(1):15-9
  2. Promberger R, Ott J, Kober F, et al. Risk factors for postopera- tive bleeding after thyroid surgery. Br J Surg 2012;99(3):373- 9
  3. Campbell MJ, McCoy KL, Shen WT, et al. A multi-institutional in- ternational study of risk factors for hematoma after thyroidec- tomy. Surgery 2013;154(6):283-91
  4. Zambudio AR, Rodríguez J, Riquelme J, Soria T, Canteras M, Parrilla P. Prospective study of postoperative complications after total thyroidectomy for multinodular goiters by surgeons with experience in endocrine surgery. Ann Surg 2004;240(1):18-25
  5. Godballe C, Madsen AR, Pedersen HB, et al. Post-thyroidec- tomy hemorrhage: a national study of patients treated at the Danish departments of ENT Head and Neck Surgery. Eur Arch Otorhinolaryngol 2009;266(12):1945-52
  6. Bergenfelz A, Jansson S, Kristoffersson A, 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(5):667-73
  7. Lang BH, Yih PC, Lo CY. A review of risk factors and timing for postoperative hematoma after thyroidectomy: is outpatient thy- roidectomy really safe? World J Surg 2012;36(10):2497-502
  8. Morton RP, Mak V, Moss D, Ahmad Z, Sevao J. Risk of bleeding after thyroid surgery: matched pairs analysis. J Laryngol Otol 2012;126(3):285-8
  9. Leyre P, Desurmont T, Lacoste L, et al. Does the risk of com- pressive hematoma after thyroidectomy authorize 1-day surgery? Langenbecks Arch Surg 2008;393(5):733-7
  10. Koh YW, Park JH, Kim JW, Lee SW, Choi EC. Clipless and su- tureless endoscopic thyroidectomy using only the harmonic scalpel. Surg Endosc 2010;24(5):1117-25
  11. Sebag F, Fortanier C, Ippolito G, Lagier A, Auquier P, Henry JF. Harmonic scalpel in multinodular goiter surgery: impact on surgery and cost analysis. J Laparoendosc Adv Surg Tech A 2009;19(2):171-4
  12. Lang BH, Ng SH, Lau LL, Cowling BJ, Wong KP. A systematic review and meta-analysis comparing the efficacy and surgical outcomes of total thyroidectomy between harmonic scalpel versus ligasure. Ann Surg Oncol 2013;20(6):1918-26
  13. Shaha AR, Jaffe BM. Practical management of post-thyroidec- tomy hematoma. J Surg Oncol 1994;57(4):235-8.