Comparison of natural drainage group and negative drainage groups after total thyroidectomy: prospective randomized controlled study.

Abstract:

PURPOSE:The aim of this study was to compare a negative pressure drain with a natural drain in order to determine whether a negative pressure drainage tube causes an increase in the drainage volume. MATERIALS AND METHODS:Sixty-two patients who underwent total thyroidectomy for papillary thyroid carcinoma (PTC) were enrolled in the study between March 2010 and August 2010 at Gyeongsang National University Hospital. The patients were prospectively and randomly assigned to two groups, a negative pressure drainage group (n=32) and natural drainage group (n=30). Every 3 hours, the volume of drainage was checked in the two groups until the tube was removed. RESULTS:The amount of drainage during the first 24 hours postoperatively was 41.68 ± 3.93 mL in the negative drain group and 25.3 ± 2.68 mL in the natural drain group (p<0.001). After 24 additional hours, the negative drain group was 35.19 ± 4.26 mL and natural drain groups 21.53 ± 2.90 mL (p<0.001). However, the drainage at postoperative day 3 was not statistically different between the two groups. In addition, the vocal cord palsy and temporary and permanent hypocalcemia were not different between the two groups. CONCLUSION:These results indicate that a negative pressure drain may increase the amount of drainage during the first 24-48 hours postoperatively. Therefore, it is not necessary to place a closed suction drain when only a total thyroidectomy is done.

journal_name

Yonsei Med J

journal_title

Yonsei medical journal

authors

Woo SH,Kim JP,Park JJ,Shim HS,Lee SH,Lee HJ,Won SJ,Son HY,Kim RB,Son YI

doi

10.3349/ymj.2013.54.1.204

subject

Has Abstract

pub_date

2013-01-01 00:00:00

pages

204-8

issue

1

eissn

0513-5796

issn

1976-2437

pii

201301204

journal_volume

54

pub_type

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