Drain or no Drain in Thyroid Surgery

Rodrigo Arrangoiz MS, MD, FACS, FSSO

👉Drain placement in thyroidectomy is associated with longer hospital stay without preventing hematoma based on the results of an article published in Laryngoscope September 2019.

👉The complications out weight any posible benefit from leaving a drain in regular, uncomplicated thyroid surgery – Dr. Arrangoiz

https://doi.org/10.1002/lary.28269

Results:

👉A total of 11,626 patients were included:

– 3281 had a drain placed intraoperatively and 8345 did not.

👉Otolaryngologists were 6.98 times more likely to place a drain after thyroidectomy than general surgeons (P < .001), and patients undergoing subtotal or total thyroidectomy were 2.17 times more likely to have a drain placed than if undergoing partial thyroidectomy (P < .001).

👉Drain placement did not reduce hematoma formation on both univariate and multivariate analyses (adjusted OR = 0.93, P = .696).

👉A slightly larger proportion of patients underwent unplanned intubation postoperatively among those who had a drain placed (0.76% vs. 0.29%, P < .001).

👉Patients who received a drain were on average 4.63 times as likely to remain in the hospital for 2 or more days compared to those who did not receive a drain.

Conclusion

👉Drain placement did not significantly affect postoperative hematoma formation following

👉Drain placement should not be routinely employed in these patients.

👉However, surgeon judgement and intraoperative considerations should be taken into account, as to when to place a drain.

https://onlinelibrary.wiley.com/doi/abs/10.1002/lary.28269?campaign=wolearlyview

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  • Rodrigo Arrangoiz MS, MD, FACS miembro de Sociedad Quirúrgica S.C. es experto en el manejo de la patología de la glándula tiroides.
    • El Dr. Arrangoiz tiene entrenamiento en:
      • Cirugía de tumores de cabeza y cuello, cirugía endocrina, y cirugía oncológica.
  • Es pionero en México de la:
    • Cirugia tiroidea minimamente invasiva
    • La cirugia minimamente invasiva radio-guiada de paratiroides.

  •  Su entrenamiento es el siguiente:
    • Tumores de Cabeza y Cuello / Cirugía Endocrina – Fox Chase Cancer Center

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  • Tumores de Cabeza y Cuello / Cirugía Endocrina – IFHNOS / Memorial Sloan Kettering Cancer Center
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  • Cirugía Oncológica Compleja – Fox Chase Cancer Center

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  • Cirugia General y Gastrointestinal:
    • Michigan State University

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  • Maestría en Ciencias de InvestigaciónDrexel University

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  • El Dr. Arrangoiz esta certificado por:
    • El Colegio Americano de Cirugía

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  • Es fellow de la Sociedad de Cirugia Oncológica:

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  • Miembro de la American Thyroid Association:

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Sociedad Quirúrgica S.C.
Hospital ABC Santa Fé
Av. Carlos Graef Fernández #154
Consultorio 515
Col. Tlaxala, Delg. Cuajimalpa
México, D.F. 05300
Tel: 1103 – 1600 Ext 4515 a la 4517
Fax:1664 – 7164
rodrigo.arrangoiz@gmail.com
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Published by Rodrigo Arrangoiz MS, MD, FACS, FSSO

My name is Rodrigo Arrangoiz I am a breast surgeon/ thyroid surgeon / parathyroid surgeon / head and neck surgeon / surgical oncologist that works at Center for Advanced Surgical Oncology in Miami, Florida. I was trained as a surgeon at Michigan State University from (2005 to 2010) where I was a chief resident in 2010. My surgical oncology and head and neck training was performed at the Fox Chase Cancer Center in Philadelphia from 2010 to 2012. At the same time I underwent a masters in science (Clinical research for health professionals) at the University of Drexel. Through the International Federation of Head and Neck Societies / Memorial Sloan Kettering Cancer Center I performed a two year head and neck surgery and oncology / endocrine fellowship that ended in 2016. Mi nombre es Rodrigo Arrangoiz, soy cirujano oncólogo / cirujano de tumores de cabeza y cuello / cirujano endocrino que trabaja Center for Advanced Surgical Oncology en Miami, Florida. Fui entrenado como cirujano en Michigan State University (2005 a 2010 ) donde fui jefe de residentes en 2010. Mi formación en oncología quirúrgica y e n tumores de cabeza y cuello se realizó en el Fox Chase Cancer Center en Filadelfia de 2010 a 2012. Al mismo tiempo, me sometí a una maestría en ciencias (investigación clínica para profesionales de la salud) en la Universidad de Drexel. A través de la Federación Internacional de Sociedades de Cabeza y Cuello / Memorial Sloan Kettering Cancer Center realicé una sub especialidad en cirugía de cabeza y cuello / cirugia endocrina de dos años que terminó en 2016.

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