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ORIGINAL ARTICLE
Year : 2021  |  Volume : 27  |  Issue : 2  |  Page : 122-126

Comparative study on outcome of thyroidectomy with and without placement of drain


Department of General Surgery, Azeezia Institute of Medical Science and Research, Kollam, Kerala, India

Correspondence Address:
Dr. D Thahzina Rahim
Department of General Surgery, Azeezia Institute of Medical Science and Research, Kollam - 691 537, Kerala
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ksj.ksj_40_21

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Background: Many surgeons routinely use drains after thyroidectomy. The present study aimed to analyse and compare the immediate post-operative outcome in patients undergoing total thyroidectomy with and without placement of drain. Materials and Methods: A comparative observational study was conducted in 30 patients who underwent total thyroidectomy. They were randomly allocated to drain and no drain group post-operatively, with 15 subjects in each group, and the immediate post-operative outcome was assessed on day 0, day 1 and day 3 post-operatively, based on five parameters – post-operative pain, duration of hospital stay, haematoma formation, seroma formation and wound infection. The results were analysed statistically with Chi-square test and Mann–Whitney U test. Results and Discussion: Mean age of the participants was 36.07. All were females. There was association between post-operative pain and placement of drain, pain being less in participants without drain. Post-operative drain had no added advantage in preventing haematoma. None of the study subjects developed wound infection following thyroidectomy in any of the categories. There was a significant statistical association between the two groups based on hospital stay, and patients without drain were discharged earlier when compared to the patients with drain. Conclusion: Routine drain placement after thyroid surgery is not necessary, as thyroid surgery without the drain decreased the length of hospital stay without increasing patient morbidity. Placing of drain increased post-operative pain significantly.


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