Short-stay sutureless total thyroidectomy
DOI:
https://doi.org/10.15218/zjms.2022.025Keywords:
Short-stay, Sutureless, ThyroidectomyAbstract
Background and objective: Thyroid surgery has traditionally been done on an inpatient basis. With the advent of minimal access techniques. This study aimed to assess the outcome of short-stay total thyroidectomy in comparison with a longer stay in terms of postoperative complications.
Methods: This was an observational comparative study which was carried out at the surgical units of Erbil of Rizgary Teaching Hospital and private hospitals in Erbil city. The data were collected in the period between January 2017 and March 2021. Data of 192 patients’ records who underwent thyroidectomy were collected.
Results: In this study, 33 (17.1%) patients were males while 159 (82.8%) were females. Out of 192 patients, 137 underwent sutureless technique while 55 of them underwent sutured way of hemostasis. Majority of patients 173 (90.1%) were discharged before 23 hours, while 19 (9.9%) were discharged after 23 hours. Significantly, higher percentage of males (24.2%) stayed more than 23 hours in the hospital compared with 6.9% of females (P = 0.006). The majority of indications with goiter, Graves’ disease, toxic nodule and solitary stayed between 12-23 hours while half of those with cancer stayed more than 23 hours (P = 0.023).
Conclusion: Short-stay thyroid surgery is a feasible and safe procedure when combined with sutureless technique: this returns to overall less postoperative complications; day-case and short-stay procedures account for an expanding area of modern-day surgery.
Metrics
References
Wang TS, Sosa JA. Who Should Do Thyroid Surgery? Textbook of Controversies in Thyroid Surgery. New York Dordrecht London: Springer International Publishing Switzerland; 2016. P. 57.
Sakorafas GH. Historical evolution of thyroid surgery. from the ancient times to the dawn of the 21st century. World J Surg. 2010; 34(8):1793–804.
Emanuele F, Enrico A, Giacomo S, Roberto S. Focus Harmonic Scalpel Compared to Conventional Haemostasis in Open Total Thyroidectomy: A Prospective Randomized Trial. Int J Otolaryngol. 2011. https://doi.org/10.1155/2011/357195
Ale AF, Isichei MW, Misauno MA .The outcome of short stay thyroidectomy in rural medical outreach settings in Northern Nigeria. Int J Res Med Sci. 2020; 8(3):007-1011. Available at: https://www.msjonline.org/index.php/ijrms/article/view/7689. Date accessed: 22 April 2021. http://doi.org/10.18203/2320-6012.ijrms20200771
Chahardahmasumi E, Salehidoost R , Amini M , Aminorroaya A , Rezvanian H , Kachooei A, et al. Assessment of the early and late complication after thyroidectomy. Adv Biomed Res. 2019; 8:14.
Christou N, Mathonnet M. Complications after total thyroidectomy. J Visc Surg. 2013; 150(4):249–56.
Doran HE, Palazzo F. Ambulatory thyroid surgery: do the risks overcome the benefits? Presse Med. 2014; 43(3):291–6.
Parmeggiani D, De Falco M, Avenia N, Sanguinetti A, Fiore A, Gubitosi A, et al. NIM vs Neurosign in nerve sparing total thyroidectomy: Multicentric experience. Ann Ital Chir. 2012; 83(3):233–8.
Jiang Y, Gao B, Zhang X, Zhao J, Chen J, Zhang S, et al. "Prevention and treatment of recurrent laryngeal nerve injury in thyroid surgery." Int J Clin Exp Med. 2014; 7(1):101.
Eismontas V, Slepavicius A, Janusonis V, Zeromskas P, Beisa V, Strupas K, et al. "Predictors of postoperative hypocalcemia occurring after a total thyroidectomy: results of prospective multicenter study." BMC Surgery. 2018; 18(1):1–12.
Del Rio P, Iapichino G, De Simone B, Bezer L, Arcuri M, Sianesi M. Is it possible to identify a risk factor condition of hypocalcemia in patients candidates to thyroidectomy for benign disease? Ann Ital Chir. 2010; 81(6):397–401.
Costanzo M, Marziani A, Condorelli F, Migliore M, Cannizzaro MA. Post-thyroidectomy hypocalcemic syndrome: predictive value of early PTH. Preliminary results. Ann Ital Chir. 2010; 81(4):301–5.
Edafe O, Antakia R, Laskar N, Balasubramanian SP, Uttley L. Systematic review and meta-analysis of predictors of post- thyroidectomy hypocalcaemia. Br J Surg. 2014; 101:307–20.
Ambe PC, Wassenberg DR. Is sutureless thyroid surgery safe in the hands of surgical trainees: A single centre retrospective study. BMC Res Notes. 2016; 9(1):1–6. https://doi.org/10.1186/s13104-016-1940-7
Garas G, Okabayashi K, Ashrafian H, Shetty K, Palazzo F, Tolley N, et al .Which hemostatic device in thyroid surgery? A network meta-analysis of surgical technologies. Thyroid. 2013; 23(9):1138–50.
Bansal N, Yadav SK, Mishra SK, Kishore K, Mishra A, Chand G, et al . Short Stay Thyroid Surgery: Can We Replicate the Same in Low Resource Setting? J thyroid Res. 2018; 2018:4910961. https://doi.org/10.1155/2018/4910961
Balentine CJ, Sippel RS. Outpatient Thyroidectomy: Is it Safe? Surg Oncol Clin N Am. 2016; 25(1):61-75.
Perera AH, Patel SD, Law NW. Thyroid surgery as a 23-hour stay procedure. Ann R Coll Surg Engl. 2014; 96(4):284–8.
Mohamed WBA, Ahmed AE. Sutureless versus conventional thyroidectomy. ISJ. 2017; 4(4):1385–8.
Dale B, Oltmann S. Is outpatient thyroid surgery for everyone? Clin Med Insights Ear Nose Throat. 2017; 10:1179550617724428.
Snyder SK, Hamid KS, Roberson CR, Rai SS, Bossen AC, Luh JH, et al. Outpatient thyroidectomy is safe and reasonable: experience with more than 1,000 planned outpatient procedures. JACS. 2010; 210(5):575–82.
Accetta P, Accetta I, Accetta AC, Araújo MS, Accetta R, Campos KB. Total thyroidectomy for benign thyroid diseases. Rev Col Bras Cir. 2011; 38(4):223–6.
AlEssa M, Al-Angari SS, Jomah M, AlOqaili A, Mujammami M, Al-Hakami HA, et al . Safety and cost-effectiveness of outpatient thyroidectomy: A retrospective observational study. Saudi Med J. 2021; 42(2):189–95.
Seybt MW, Terris DJ. Outpatient thyroidectomy: experience in over 200 patients. The Laryngoscope. 2010; 120(5):959–63.
Lang BH, Yih PC, Lo CY. A review of risk factors and timing for postoperative hematoma after thyroidectomy: is outpatient thyroidectomy really safe? World J Surg. 2012; 36(10):2497–502.
Hayward NJ, Grodski S , Yeung M , Johnson WR, Serpell J. Recurrent laryngeal nerve injury in thyroid surgery: a review. ANZ J Surg. 2013; 83(1-2):15–21. https://doi.org/10.1111/j.1445-2197.2012.06247.x
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2022 Sabat Nariman Abdulhamid, Ali Al Dabbagh (Author)
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
The copyright on any article published in Zanco J Med Sci is retained by the author(s) in agreement with the Creative Commons Attribution Non-Commercial ShareAlike License (CC BY-NC-SA 4.0).
