مجله جهانی جراحی پلاستیک
مجله جهانی جراحی پلاستیک
جمعه 14 دی 1403
[Archive]
دوره 13، شماره 1 - ( 1402 )
جلد 13 شماره 1 صفحات 42-37 |
برگشت به فهرست نسخه ها
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Shoushtari M H S, Sherafatmand S, Rostami A, Mohammadi A, Shayesteh B, Farhadi F. Evaluation of Hematoma Formation after Thyroidectomy Surgery and Its Related Factors. WJPS 2024; 13 (1) :37-42
URL: http://wjps.ir/article-1-1224-fa.html
URL: http://wjps.ir/article-1-1224-fa.html
Evaluation of Hematoma Formation after Thyroidectomy Surgery and Its Related Factors. مجله جهانی جراحی پلاستیک. 1402; 13 (1) :37-42
چکیده: (1770 مشاهده)
Abstract
Background: In the last decade, the number of patients undergoing thyroidectomy has increased. Compared to other methods, thyroidectomy is a relatively safe method for treating various types of thyroid diseases. However, the blood flow rate in the thyroid gland is high, and hematoma after thyroidectomy is one of its complications. We aimed to evaluate hematoma after thyroidectomy and its related factors.
Methods: In this retrospective study, 2320 patients over 20 years of age who underwent thyroidectomy in Imam Khomeini, Arvand, and Mehr Ahvaz hospitals, Khuzestan Province, southern Iran between 2011 and 2022 were enrolled. Data were analyzed using SPSS software, version 22.
Results: 70.7% of the patients were in the age range of 20-50 years. Twenty-five (1.1%) of patients developed a hematoma after thyroidectomy. Males are more likely to hematoma after surgery (P=0.01). Hematoma was significantly higher in patients with a history of hypertension (P=0.001). Moreover, a significant association was found between male gender, and age over 50 years with the risk of hematoma (P<0.05). The incidence of hematoma had a statistically remarkable correlation with follicular thyroid cancer pathology (P=0.001). Other pathology diagnoses were not significantly related to hematoma formation after thyroidectomy.
Conclusions: Hematoma after thyroidectomy surgery is a rare, but dangerous and life-threatening complication. It is important to identify risk factors for hematoma formation.
Background: In the last decade, the number of patients undergoing thyroidectomy has increased. Compared to other methods, thyroidectomy is a relatively safe method for treating various types of thyroid diseases. However, the blood flow rate in the thyroid gland is high, and hematoma after thyroidectomy is one of its complications. We aimed to evaluate hematoma after thyroidectomy and its related factors.
Methods: In this retrospective study, 2320 patients over 20 years of age who underwent thyroidectomy in Imam Khomeini, Arvand, and Mehr Ahvaz hospitals, Khuzestan Province, southern Iran between 2011 and 2022 were enrolled. Data were analyzed using SPSS software, version 22.
Results: 70.7% of the patients were in the age range of 20-50 years. Twenty-five (1.1%) of patients developed a hematoma after thyroidectomy. Males are more likely to hematoma after surgery (P=0.01). Hematoma was significantly higher in patients with a history of hypertension (P=0.001). Moreover, a significant association was found between male gender, and age over 50 years with the risk of hematoma (P<0.05). The incidence of hematoma had a statistically remarkable correlation with follicular thyroid cancer pathology (P=0.001). Other pathology diagnoses were not significantly related to hematoma formation after thyroidectomy.
Conclusions: Hematoma after thyroidectomy surgery is a rare, but dangerous and life-threatening complication. It is important to identify risk factors for hematoma formation.
فهرست منابع
1. 1 McGuire JK, Viljoen G, Rocke J, Fitzpatrick S, Dalvie S, Fagan JJ. Does thyroid gland preserving total laryngectomy affect oncological control in laryngeal carcinoma? The Laryngoscope 2020;130(6):1465-9. [DOI:10.1002/lary.28235]
2. 2 Kim K, Kang S-W, Kim JK, et al. Surgical outcomes of minimally invasive thyroidectomy in thyroid cancer: comparison with conventional open thyroidectomy. Gland Surgery 2020;9(5):1172. [DOI:10.21037/gs-20-512]
3. 3 Haugen BR. 2015 American Thyroid Association management guidelines for adult patients with thyroid nodules and differentiated thyroid cancer: what is new and what has changed? Cancer 2017;123(3):372-81. [DOI:10.1002/cncr.30360]
4. 4 Perera M, Anabell L, Page D, Harding T, Gnaneswaran N, Chan S. Risk factors for post-thyroidectomy haematoma. The Journal of Laryngology & Otology 2016;130(S1):S20-S5. [DOI:10.1017/S0022215115003199]
5. 5 Weiss A, Lee KC, Brumund KT, Chang DC, Bouvet M. Risk factors for hematoma after thyroidectomy: results from the nationwide inpatient sample. Surgery 2014;156(2):399-404. [DOI:10.1016/j.surg.2014.03.015]
6. 6 Calò PG, Pisano G, Piga G, et al. Postoperative Haematomas after thyroid surgery. Ann Ital Chir 2010;81:343-47.
7. 7 Hardman JC, Smith J, Nankivell P, Sharma N, Watkinson J. Re-operative thyroid surgery: a 20-year prospective cohort study at a tertiary referral centre. Eur Arch Otorhinolaryngol 2015;272:1503-8. [DOI:10.1007/s00405-014-3068-5]
8. 8 Rosato L, Avenia N, Bernante P, et al. Complications of thyroid surgery: analysis of a multicentric study on 14,934 patients operated on in Italy over 5 years. World J Surg 2004;28:271-6. [DOI:10.1007/s00268-003-6903-1]
9. 9 Hillenbrand A, Cammerer G, Dankesreiter L, Lemke J, Henne-Bruns D. Postoperative swallowing disorder after thyroid and parathyroid resection. Pragmat Obs Res 2018:63-8. [DOI:10.2147/POR.S172059]
10. 10 Abboud B, Sleilaty G, Rizk H, Abadjian G, Ghorra C. Safety of thyroidectomy and cervical neck dissection without drains. Can J Surg 2012;55(3):199. [DOI:10.1503/cjs.025710]
11. 11 de Carvalho AY, Gomes CC, Chulam TC, et al. Risk factors and outcomes of postoperative neck hematomas: an analysis of 5,900 thyroidectomies performed at a cancer center. Int Arch Otorhinolaryngol 2021;25:421-7. [DOI:10.1055/s-0040-1714129]
12. 12 Sun GH, DeMonner S, Davis MM. Epidemiological and economic trends in inpatient and outpatient thyroidectomy in the United States, 1996-2006. Thyroid 2013;23(6):727-33. [DOI:10.1089/thy.2012.0218]
13. 13 Fan C, Zhou X, Su G, et al. Risk factors for neck hematoma requiring surgical re-intervention after thyroidectomy: a systematic review and meta-analysis. BMC Surg 2019;19:1-12. [DOI:10.1186/s12893-019-0559-8]
14. 14 Bergenfelz A, Jansson S, Kristoffersson A, et al. Complications to thyroid surgery: results as reported in a database from a multicenter audit comprising 3,660 patients. Langenbeck's Arch Surg 2008;393:667-73. [DOI:10.1007/s00423-008-0366-7]
15. 15 Alqahtani SM, Al-Sohabi HR, Alfattani AA, Alalawi Y, Alfattani A. Post-Thyroidectomy Hematoma: Risk Factors To Be Considered for Ambulatory Thyroidectomy. Cureus 2022;14(11). [DOI:10.7759/cureus.31539]
16. 16 Moran K, Grigorian A, Elfenbein D, et al. Energy vessel sealant devices are associated with decreased risk of neck hematoma after thyroid surgery. Updates Surg 2020;72:1135-41. [DOI:10.1007/s13304-020-00776-9]
17. 17 Pontin A, Pino A, Caruso E, Pinto G, Melita G, Dionigi G. Postoperative bleeding after thyroid surgery: care instructions. Şişli Etfal Hastanesi Tip Bülteni 2019;53(4):329-36. [DOI:10.14744/SEMB.2019.95914]
18. 18 Ahnen Tv, Ahnen Mv, Wirth U, Schroll A, Schardey H, Schopf S. Pathophysiology of airway obstruction caused by wound hematoma after thyroidectomy: an ex vivo study. Eur Surg 2015;47:123-6. [DOI:10.1007/s10353-015-0318-8]
19. 19 Sudhir MN, Ravishankara S, Mohan A, Mk G, Pinky D, Sarika SN. Post-thyroidectomy hematoma: a rare but potentially fatal complication. Online J Otolaryngol 2015;5:76.
20. 20 Lee M, Rhee J, Kim Y, Jung YH, Ahn SH, Jeong WJ. Perioperative risk factors for post‐thyroidectomy hematoma: Significance of pain and ketorolac usage. Head Neck 2019;41(10):3656-60. [DOI:10.1002/hed.25895]
21. 21 Oltmann SC, Alhefdhi AY, Rajaei MH, Schneider DF, Sippel RS, Chen H. Antiplatelet and anticoagulant medications significantly increase the risk of postoperative hematoma: review of over 4500 thyroid and parathyroid procedures. Ann Surg Oncol 2016;23:2874-82. [DOI:10.1245/s10434-016-5241-0]
22. 22 Chen E, Cai Y, Li Q, et al. Risk factors target in patients with post-thyroidectomy bleeding. Int J Clin Exp Med 2014;7(7):1837.
23. 23 Lin DZ, Qu N, Shi Rl, Lu ZW, Ji QH, Wu Wl. Risk prediction and clinical model building for lymph node metastasis in papillary thyroid microcarcinoma. Onco Targets Ther 2016:5307-16. [DOI:10.2147/OTT.S107913]
24. 24 Samona S, Hagglund K, Edhayan E. Case cohort study of risk factors for post-thyroidectomy hemorrhage. Am J Surg 2016;211(3):537-40. [DOI:10.1016/j.amjsurg.2015.10.023]
25. 25 Weiss A, Lee K, Brumund K, Chang D, Bouvet M. Risk Factors for Hematoma Following Thyroidectomy: Results from the Nationwide Inpatient Sample. J Surg Res 2014;2(186):673. [DOI:10.1016/j.jss.2013.11.792]
26. 26 Mohr TS, Brouse SD. Perioperative management of antiplatelet agents. Orthopedics 2012;35(8):687-91. [DOI:10.3928/01477447-20120725-06]
| بازنشر اطلاعات | |
 |
این مقاله تحت شرایط Creative Commons Attribution-NonCommercial 4.0 International License قابل بازنشر است. |
