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CC BY-NC-ND 4.0 · International Journal of Practical Otolaryngology 2022; 05(01): e1-e5
DOI: 10.1055/s-0042-1742692
Original Article

Evaluation of Postoperative Bleeding after Thyroid Surgery

Shogo Furukawa
1   Department of Otolaryngology—Head and Neck Surgery, Osaka Medical and Pharmaceutical University, Osaka, Japan
2   Department of Otolaryngology, Osaka Saiseikai Suita Hospital, Osaka, Japan
,
Shuji Nishikawa
2   Department of Otolaryngology, Osaka Saiseikai Suita Hospital, Osaka, Japan
,
Masaaki Higashino
1   Department of Otolaryngology—Head and Neck Surgery, Osaka Medical and Pharmaceutical University, Osaka, Japan
,
Tetsuya Terada
1   Department of Otolaryngology—Head and Neck Surgery, Osaka Medical and Pharmaceutical University, Osaka, Japan
,
Ryo Kawata
1   Department of Otolaryngology—Head and Neck Surgery, Osaka Medical and Pharmaceutical University, Osaka, Japan
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Abstract

Postoperative bleeding after thyroid surgery is a life-threatening complication. The aim of this study was to identify risk factors for postoperative bleeding. The medical records of 323 consecutive patients who underwent thyroid surgery between 2012 and 2019 at our hospital were reviewed. Bleeding occurred in 11 of the 323 patients (3.4%). Our analysis revealed no associations of the age, sex, tumor characteristics, or operative factors with the risk of postoperative bleeding. Most patients had symptoms/signs of bleeding, such as cervical swelling, pain/tenderness, and respiratory disturbance. In 5 of the 11 patients who developed postoperative bleeding, the aforementioned symptoms/signs were detected by the attending nurse. Careful observation for up to 24 hours is recommended for early detection of the signs/symptoms of bleeding in patients undergoing thyroid surgery, not only by the surgeon but also by the rest of the care team, including other doctors and nurses attending on the patient.

Keywords

thyroid surgery - postoperative bleeding - complication


Publication History

Received: 09 June 2021

Accepted: 05 November 2021

Article published online:
09 February 2022

© 2022. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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