| Autor: |
Jayalal, J. A., Baghavath, P. R., Raj, S. Edwin Kins, P., Chitra |
| Předmět: |
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| Zdroj: |
European Journal of Cardiovascular Medicine; 2024, Vol. 14 Issue 5, p543-550, 8p |
| Abstrakt: |
Background: This meta-analysis study was to evaluate the effectiveness of drain usage after thyroidectomy in preventing wound hematoma, post-operative pain, length of hospital stays, and wound infection. Objectives: Post-operative wound complications following thyroid surgery are not decreased by the use of drains. Materials AND METHODS: Following PRISMA guidelines, a systematic review and meta-analysis were carried out. After a search of the literature, RCTs comparing the use of drains versus not using any drains in patients undergoing thyroid surgery were found. Excluded from consideration were trials involving patients who had lateral neck dissections. Data extraction and methodological quality grading were carried out by impartial reviewers. Heterogeneity was evaluated and the risk ratio (RR) or mean difference (MD) with a 95% confidence interval was computed. Results: A total of 13 RCTs with 1100 patients were included in the meta-analysis. The rates of hematoma were found to be higher in the drain group (P value=0.24) as compared to no drain group (P value=0.015). The wound infection rates (P value=0.21), the length of hospital stay (P value=0.33), and the pain score (P value=0.37) on the first week of the postoperative day were all higher in the drain group as compared to no drain group. Conclusion: Overall, there was a higher incidence of hematoma, pain, length of hospital stays, and infection in the drain group. It indicates that patients do not benefit from using a drain following a thyroidectomy. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
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