The impact of routine open nonsuction drainage on fluid accumulation after thyroid surgery: a prospective randomised clinical trial.

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dc.contributor.author Neary, Peter M.
dc.contributor.author O'Connor, Owen J.
dc.contributor.author Shafiq, Azher
dc.contributor.author Quinn, Edel M.
dc.contributor.author Kelly, Justin J.
dc.contributor.author Buckley, Juliette
dc.contributor.author Cahill, Ronan A.
dc.contributor.author Barry, Josephine
dc.contributor.author Redmond, H. Paul
dc.date.accessioned 2016-07-13T09:23:54Z
dc.date.available 2016-07-13T09:23:54Z
dc.date.issued 2012-04-28
dc.identifier.citation Neary, P. M., O'Connor, O. J., Shafiq, A., Quinn, E. M., Kelly, J. J., Buckley, J., Cahill, R. A., Barry, J. and Redmond, H. P. (2012) 'The impact of routine open nonsuction drainage on fluid accumulation after thyroid surgery: a prospective randomised clinical trial'. World Journal Of Surgical Oncology, 10: 72. http://dx.doi.org/10.1186/1477-7819-10-72 en
dc.identifier.volume 10 en
dc.identifier.startpage 72 (1) en
dc.identifier.endpage 72 (5) en
dc.identifier.issn 1477-7819
dc.identifier.uri http://hdl.handle.net/10468/2864
dc.identifier.doi 10.1186/1477-7819-10-72
dc.description.abstract Background: Thyroid drains following thyroid surgery are routinely used despite minimal supportive evidence. Our aim in this study is to determine the impact of routine open drainage of the thyroid bed postoperatively on ultrasound-determined fluid accumulation at 24 hours. Methods: We conducted a prospective randomised clinical trial on patients undergoing thyroid surgery. Patients were randomly assigned to a drain group (n = 49) or a no-drain group (n = 44) immediately prior to wound closure. Patients underwent a neck ultrasound on day 1 and day 2 postoperatively. After surgery, we evaluated visual analogue scale pain scores, postoperative analgesic requirements, self-reported scar satisfaction at 6 weeks and complications. Results: There was significantly less mean fluid accumulated in the drain group on both day 1, 16.4 versus 25.1 ml (P-value = 0.005), and day 2, 18.4 versus 25.7 ml (P-value = 0.026), following surgery. We found no significant differences between the groups with regard to length of stay, scar satisfaction, visual analogue scale pain score and analgesic requirements. There were four versus one wound infections in the drain versus no-drain groups. This finding was not statistically significant (P = 0.154). No life-threatening bleeds occurred in either group. Conclusions: Fluid accumulation after thyroid surgery was significantly lessened by drainage. However, this study did not show any clinical benefit associated with this finding in the non-emergent setting. Drains themselves showed a trend indicating that they may augment infection rates. The results of this study suggest that the frequency of acute life-threatening bleeds remains extremely low following abandoning drains. We advocate abandoning routine use of thyroid drains. Trial registration: ISRCTN94715414. en
dc.format.mimetype application/pdf en
dc.language.iso en en
dc.publisher Biomed Central en
dc.rights © 2012 Neary et al.; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited en
dc.rights.uri http://creativecommons.org/licenses/by/2.0 en
dc.subject Thyroid surgery en
dc.subject Thyroid Neoplasms en
dc.subject Thyroidectomy en
dc.subject Thyroid drains en
dc.subject Postoperative complications en
dc.title The impact of routine open nonsuction drainage on fluid accumulation after thyroid surgery: a prospective randomised clinical trial. en
dc.type Article (peer-reviewed) en
dc.internal.authorcontactother Owen J. O'Connor, Medicine , University College Cork, Cork, Ireland. +353-21-490-3000 Email: oj.oconnor@ucc.ie en
dc.internal.availability Full text available en
dc.date.updated 2012-09-26T16:00:20Z
dc.description.version Published Version en
dc.internal.rssid 169067327
dc.description.status Peer reviewed en
dc.identifier.journaltitle World Journal Of Surgical Oncology en
dc.internal.copyrightchecked Yes. !!CORA!! Yes en
dc.internal.licenseacceptance Yes en
dc.internal.IRISemailaddress oj.oconnor@ucc.ie en
dc.identifier.articleid 72


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© 2012 Neary et al.; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited Except where otherwise noted, this item's license is described as © 2012 Neary et al.; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited
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