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

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dc.contributor.authorNeary, Peter M.
dc.contributor.authorO'Connor, Owen J.
dc.contributor.authorShafiq, Azher
dc.contributor.authorQuinn, Edel M.
dc.contributor.authorKelly, Justin J.
dc.contributor.authorBuckley, Juliette
dc.contributor.authorCahill, Ronan A.
dc.contributor.authorBarry, Josephine
dc.contributor.authorRedmond, H. Paul
dc.date.accessioned2016-07-13T09:23:54Z
dc.date.available2016-07-13T09:23:54Z
dc.date.issued2012-04-28
dc.date.updated2012-09-26T16:00:20Z
dc.description.abstractBackground: 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.description.statusPeer revieweden
dc.description.versionPublished Versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.articleid72
dc.identifier.citationNeary, 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/10.1186/1477-7819-10-72en
dc.identifier.doi10.1186/1477-7819-10-72
dc.identifier.endpage72 (5)en
dc.identifier.issn1477-7819
dc.identifier.journaltitleWorld Journal Of Surgical Oncologyen
dc.identifier.startpage72 (1)en
dc.identifier.urihttps://hdl.handle.net/10468/2864
dc.identifier.volume10en
dc.language.isoenen
dc.publisherBiomed Centralen
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 citeden
dc.rights.urihttp://creativecommons.org/licenses/by/2.0en
dc.subjectThyroid surgeryen
dc.subjectThyroid Neoplasmsen
dc.subjectThyroidectomyen
dc.subjectThyroid drainsen
dc.subjectPostoperative complicationsen
dc.subject~Medicine - Journal Articles~en
dc.titleThe impact of routine open nonsuction drainage on fluid accumulation after thyroid surgery: a prospective randomised clinical trial.en
dc.typeArticle (peer-reviewed)en
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