Independent predisposing factors for subcutaneous and deep wound collection after total thyroidectomy, a prospective cohort study

ConclusionsOperative duration is the only independent factor significantly related to clinically-detected postoperative seroma with its subsequent postoperative pain. Especially in elderly patients, a flapless technique would be recommended as these patients developed larger volumes of SC collections with subsequent higher pain scores, even if seroma was not clinically detected.
Source: Annals of Medicine and Surgery - Category: General Medicine Source Type: research

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ConclusionThe LMA Protector ™ causes fewer pharyngolaryngeal symptoms than the ETT within 6 and 12 h after minimally invasive total thyroidectomy and parathyroidectomy.Trial registrationClinicalTrials.gov Identifier NCT03098667.
Source: World Journal of Surgery - Category: Surgery Source Type: research
OJECTIVES: The aim was to evaluate the ability of bilateral superficial cervical plexus blockade to control pain and to reduce the side effects of general anesthesia in patients submitted to thyroidectomy. METHODS: In this randomized controlled trial, we prospectively studied 100 consecutive patients who underwent total thyroidectomy. The simple random patient sample was divided into two groups: 50 patients received general anesthesia alone (group 1 [G1]), and 50 patients received general anesthesia with bilateral superficial cervical plexus blockade (group 2 [G2]). Statistical analyses were performed, and a 5% significanc...
Source: Clinics - Category: General Medicine Source Type: research
Publication date: Available online 5 September 2019Source: Brazilian Journal of Anesthesiology (English Edition)Author(s): Alkan Karakış, Hakan Tapar, Zeki Özsoy, Mustafa Suren, Serkan Dogru, Tuğba Karaman, Serkan Karaman, Aynur Sahin, Hasan KanadlıAbstractIntroductionBilateral superficial cervical plexus block (BSCPB) is a common method used for analgesia in thyroid surgery. We investigated the analgesic efficacy of bilateral superficial cervical plexus block in the intraoperative and postoperative periods.Materials and methodsPatients (n = 46) undergoing thyroidectomy were randomly separated into the followi...
Source: Brazilian Journal of Anesthesiology - Category: Anesthesiology Source Type: research
Thyroidectomy is a common procedure that causes mild trauma. Nevertheless, postoperative pain remains a major challenge in patient care. Multimodal analgesia comprising a combination of analgesics and analgesi...
Source: BMC Anesthesiology - Category: Anesthesiology Authors: Tags: Research article Source Type: research
This study raises the possibility of a role for surgery for patients with Hashimoto’s thyroiditis who continue to feel poorly despite optimal treatment with thyroid hormone. However, the study, while well done, is a relatively small one. We need longer-term follow up and confirmation with additional studies done on diverse populations. It’s also important to consider that thyroid surgery in patients with advanced Hashimoto’s thyroiditis is difficult. Rates of complications, including injury to the laryngeal nerve (which controls voice) and the parathyroid glands (which maintain normal blood calcium levels...
Source: Harvard Health Blog - Category: Consumer Health News Authors: Tags: Health Thyroid Disorders Source Type: blogs
Conclusions: Pain on postoperative day 0 was lesser in the BRT than in the OT group. Similarly, the severity of nausea was lesser in the BRT group, despite longer operation time and broad dissection performed for docking the robotic arms.
Source: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques - Category: Surgery Tags: Original Articles Source Type: research
Conclusion: This study showed that cervical KT application following thyroidectomy does not have a positive effect on neck pain, ROM, or disability, but nonetheless, it reduces analgesic consumption. PMID: 31340634 [PubMed - as supplied by publisher]
Source: Turkish Journal of Medical Sciences - Category: General Medicine Tags: Turk J Med Sci Source Type: research
Conditions:   Pain;   Thyroidectomy Interventions:   Other: Acetaminophen and hydrocodone based pain control;   Other: Acetaminophen and ibuprofen based pain control Sponsor:   Medstar Health Research Institute Recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
CONCLUSIONS: Our study demonstrates that there is no evidence that the use of suction drains improves patients outcome and that routinely use of fibrin sealant can be advocated in thyroid surgery as an adjunct to a good surgical procedure. KEY WORDS: Complication, Drainage, Fibrin Sealant, Thyroidectomy. PMID: 31182696 [PubMed - in process]
Source: Annali Italiani di Chirurgia - Category: Surgery Tags: Ann Ital Chir Source Type: research
ConclusionsVAS was used to measure treatment outcome in TOETVA. VAS scores achieved overall a minimal clinical importance difference from the two procedures. There appears to be both a short- and long-term different range of interpretations of pain between TOETVA and OTA.
Source: Journal of Endocrinological Investigation - Category: Endocrinology Source Type: research
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