Goiter Clinical Trial
Official title:
Is the Use of Drain for Thyroid Surgery Realistic?
Background : The use of suction drains in thyroid surgery is common practice in order to
avoid haematoma or seroma, as well as to identify promptly the onset of haemorrhaging that
might compromise the patient's airway. The aim of this study to determine the effects of
routine drainage compared to no drainage in thyroidectomy patients.
Study Design : Total of 400 patients who undergoing total thyroidectomy or lobectomy for
thyroidal disorders will be randomly allocated to be drained or not. Postoperative
ultrasonographic (USG) neck examination will be performed for all patients on postoperative
24th hour by the same ultrasonologist each time. Postoperative pain, complications and
hospital stay will be recorded. The statistical analysis will be performed and p<0,05 will
be accepted as an important statistical value (SPSS 16.0 for Windows).
Patients will include in the study will randomly allocate to drain and non-drain group on
the basis of computer generated random number table. Patients with substernal goitre or non
differentiated cancer will exclude from the study.
According to the thyroidal disorder, total thyroidectomy or lobectomy plus isthmectomy will
be performed. The operating time will be defined as the time from the first incision to the
last suture's placement. 4/0 polypropylene sutures will be used subcutaneously for wound
closure. In the drain group a closed suction drain with negative pressure (Hemovac®) was
brought out through a separate wound.
;
Allocation: Randomized, Endpoint Classification: Safety Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Investigator), Primary Purpose: Screening
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