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Post-Thyroidectomy Hematoma: Risk Factors To Be Considered for Ambulatory Thyroidectomy.
Alqahtani, Saad M; Al-Sohabi, Hanan R; Alfattani, Areej A; Alalawi, Yousef.
Afiliación
  • Alqahtani SM; Department of Surgery, College of Medicine, Majmaah University, Al-Majmaah, SAU.
  • Al-Sohabi HR; Department of Surgery, King Salman Armed Forces Hospital in North-Western Region, Tabuk, SAU.
  • Alfattani AA; Department of Biostatistics, Epidemiology, and Scientific Computing, King Faisal Specialist Hospital and Research Centre, Riyadh, SAU.
  • Alalawi Y; Department of Surgery, King Salman Armed Forces Hospital In the North-Western Region, Tabuk, SAU.
Cureus ; 14(11): e31539, 2022 Nov.
Article en En | MEDLINE | ID: mdl-36540508
INTRODUCTION: Post-thyroidectomy hematoma is a serious, potentially life-threatening complication and it is the most frequent indication for reoperation. In this study, we aimed to identify the risk factors and prevalence of post-thyroidectomy hematoma and perform a literature review of the incidence of post-thyroidectomy hematoma at other centers in Saudi Arabia. METHODS: We retrospectively enrolled 372 consecutive patients who had undergone thyroidectomy between January 2015 and December 2020. Patients with bleeding disorders were excluded from the study. Data were analyzed using SPSS software, version 20.0 (IBM Corp., Armonk, NY). RESULTS: Three female (0.8%) patients developed a hematoma after thyroidectomy. Two patients developed a hematoma 24 hours after surgery and were treated conservatively. The third patient developed a hematoma within two hours of surgery and required surgical intervention. None of the patients required a tracheostomy, and there was no mortality. No significant association was found between age, sex, final pathology, the extent of thyroidectomy, and risk of hematoma. CONCLUSION: A post-thyroidectomy hematoma is a rare but dangerous complication. Identifying the risk factors for hematoma formation is of great importance, particularly when considering outpatient thyroidectomy. A large prospective multicenter study is needed for further investigation.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Clinical_trials / Etiology_studies / Prognostic_studies / Risk_factors_studies Idioma: En Revista: Cureus Año: 2022 Tipo del documento: Article Pais de publicación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Clinical_trials / Etiology_studies / Prognostic_studies / Risk_factors_studies Idioma: En Revista: Cureus Año: 2022 Tipo del documento: Article Pais de publicación: Estados Unidos