Abstract
Background: Majority of surgeons place a drain following thyroid surgery to evacuate collected blood and serum.
The aim of this study was to compare the outcome of thyroid surgery with and without drainage.
Material & Methods: This randomized clinical trial was conducted at Surgical Department, Jinnah Postgraduate
Medical Centre and Dow University Hospital, Karachi from August 2013 to January 2014. Inclusion criteria were
age between 18-65 years, either gender, solitary thyroid nodule with maximum size 3x3 cm, ASA physical status
I and II, euthyroid patients undergoing thyroidectomy and duration of disease >6 months. Exclusion criteria were
bleeding diathesis, multinoduler goiter, thyroid cancer, previous thyroid surgery and anticoagulant therapy. In
group A drain was placed and in group B no drain was placed. Pain score on first postoperative day and duration
of hospital stay were noted on visual analog scale (VAS).
Results: In Group A the median IQR of postoperative hospital stay was 2(1-2) and in Group B 1(1-1). In Group A
the median IQR of pain on 1st postoperative day on VAS was 2(2-3) and in Group B 1(1-1). Pain was observed in
Group A in 6.7% patients VAS score 1, in 53.3% patients 2, in 36.7% patients 3 and in 3.3% patients 4. In Group
B 83.3% patients had VAS score 1, 13.3% had 2, 3.3% had 3 and 0% VAS score 4. In group A 36.7% patients
were discharged on 1st postoperative day, 53.3% on 2nd and 10.0% on 3rd postoperative day. In Group B 93.3%
patients were discharged on 1st postoperative day, 6.7% on 2nd and 0% on 3rd postoperative day.
Conclusion: Routine drainage of thyroidectomy bed is unnecessary after uncomplicated thyroid surgery, as it is
not effective in decreasing the rate of postoperative complications resulting from post thyroidectomy haemorrhage.
Muhammad Mansoor Iqbal, Muhammad Jawed, Muhammad Iqbal Khan, Shazia Ubed Shaikh, Ubedullah Shaikh. (2015) COMPARISON OF OUTCOME OF SOLITARY THYROID NODULE SURGERY WITH AND WITHOUT DRAINAGE, Gomal Journal of Medical Sciences , Volume 13, Issue 3.
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