SciELO - Scientific Electronic Library Online

 
vol.61 número6Cáncer de mama en Chile: Un aporte clínico y epidemiológico según un registro poblacional metropolitano: 1.485 pacientesResultados perioperatorios y sobrevida alejada de la pancreatoduodenectomía con resección vascular índice de autoresíndice de materiabúsqueda de artículos
Home Pagelista alfabética de revistas  

Servicios Personalizados

Revista

Articulo

Indicadores

Links relacionados

Compartir


Revista chilena de cirugía

versión On-line ISSN 0718-4026

Resumen

PEREZ P, JUAN ANTONIO; URRUTIA SCH, VERÓNICA; SILVA C, PAULINA  y  MURUA A, ALEJANDRO. Selective use of drainages in thyroidectomy. Rev Chil Cir [online]. 2009, vol.61, n.6, pp.515-518. ISSN 0718-4026.  http://dx.doi.org/10.4067/S0718-40262009000600004.

Background: There is controversy about the universal use of drainages in thyroid surgery. Aim: To evaluate the selective use of drainages in thyroid surgery, using them only in patients with high risk of developing a cervical hematoma. Material and Methods: Eight four patients subjected to thyroid surgery, were prospectively evaluated. Drainages were only used in those patients in whom a big cavity was left after thyroidectomy, patients with intrathoracic goiter and patients subjected to lymph node dissection. Results: Drainages were omitted in 68 patients (81%) aged 18 to 68 years, 59 females. Forty four (65%) of these patients were subjected to a total thyroidectomy, 14 (21%) to a subtotal thyroidectomy and 10 (7%) to a lobectomy. In 19 cases (28%) the biopsy informed a papillary cancer, the rest were benign lesions. One patient had a cervical hematoma that required a new operation. Hospital stay ranged from 1 to 4 days. Conclusions: The selective use of drainages in thyroid surgery is feasible, safe and allows a shorter hospital stay.

Palabras clave : Thyroidectomy; drainage; hematoma.

        · resumen en Español     · texto en Español     · Español ( pdf )

 

Creative Commons License Todo el contenido de esta revista, excepto dónde está identificado, está bajo una Licencia Creative Commons