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Journal of Thyroid Research
Volume 2013, Article ID 285768, 5 pages
http://dx.doi.org/10.1155/2013/285768
Clinical Study

Is the Use of a Drain for Thyroid Surgery Realistic? A Prospective Randomized Interventional Study

1General Surgery Department, School of Medicine, Maltepe University, 34843 Istanbul, Turkey
2General Surgery Department, School of Medicine, Sakarya University, 54100 Sakarya, Turkey
3Radiology Department, School of Medicine, Maltepe University, 34843 Istanbul, Turkey
4Pathology Department, School of Medicine, Maltepe University, 34843 Istanbul, Turkey

Received 19 March 2013; Accepted 7 May 2013

Academic Editor: C. Marcocci

Copyright © 2013 Ugur Deveci et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Background. The use of a suction drain in thyroid surgery is common practice in order to avoid hematomas or seromas. The aim of this study was to determine the efficacy of routine drainage after thyroid surgery. Methods. In this prospective randomized trial, 400 patients who underwent either a total thyroidectomy or lobectomy for thyroid disorders were randomly allocated to either the nondrainage (group 1) or the drainage (group 2) group. The volume of fluid collection in the operative bed, postoperative pain, complications, and length of hospital stay were then recorded. Results. Both groups were homogeneous according to age, gender, thyroid volume, type of procedure performed, and histopathological diagnosis. After assessment by USG, no significant difference was found between the groups in the fluid collection of the thyroid bed ( ), but the length of hospital stay was significantly reduced in group 1 ( ). Conclusions. In our experience, the use of drain for thyroid surgery is not a routine procedure. However, it should be used in the presence of extensive dead space, particularly when there is retrosternal or intrathoracic extension, or when the patient is on anticoagulant treatment. This trial was registered with clinical Trials.gov NCT01771523.