Life-threatening neck hematoma complicating thyroid and parathyroid surgery - 20/08/11
Corresponding author. Tel.: +1-216-778-4753; fax: +1-216-778-3774.Abstract |
Background |
Observation following thyroidectomy and parathyroidectomy has been progressively shortened. The challenge has been to reduce the duration of postoperative observation without jeopardizing patient safety.
Methods |
A retrospective review of patients who underwent thyroidectomy and/or parathyroidectomy between July 1990 and March 2007 was completed to determine the frequency of life-threatening hematoma and hospital readmission and their impact on postoperative observation.
Results |
Of 1,050 patients, life-threatening hematoma developed in 6 (.6%) patients, 5 following bilateral and 1 following unilateral thyroidectomy. Hematoma developed 10 minutes to 7 days postoperatively, four within 4 hours, one at 21 hours, and one at 7 days. Twelve patients were readmitted an average of 5 days postoperatively for hypocalcemia, hematoma, infection, or respiratory distress.
Conclusion |
Without factors contributing to bleeding, unilateral thyroidectomy and parathyroidectomy can be performed as an ambulatory procedure. To maximize safety, we recommend 4-hour and 23-hour observation following unilateral and bilateral thyroidectomy, respectively.
Le texte complet de cet article est disponible en PDF.Keywords : Thyroidectomy, Parathyroidectomy, Neck hematoma, Postoperative hemorrhage
Plan
Vol 195 - N° 3
P. 339-343 - mars 2008 Retour au numéro
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