Surgical Site Infection Following Thyroidectomy

  • Wound infections, usually caused by Staphylococcus or Streptococcus species are considered to be rare events in thyroid surgery:
    • Occurring in 0.3% to 0.8% of cases
  • Antibiotic prophylaxis:
    • Is recommended only in immunocompromised patients or in those with valvular cardiac disorders
  • While mild neck cellulitis frequently regresses under conservative treatment:
    • Abscesses require rapid incision and evacuation:
      • Delay of invasive treatment can result in devastating mediastinitis
  • Clinically evident seromas:
    • Respond well to percutaneous aspiration
  • References:
    • Sosa JA, et al (1998) The importance of surgeon experience for clinical and economic outcomes from thyroidectomy. Ann Surg 228:320–330
    • Rosato L, et al (2004) Complications of thyroid surgery: analysis of a multicentric study on 14,934 patients oper- ated on in Italy over 5 years. World J Surg 28:271–276

#Arrangoiz #ThyroidSurgeon #HeadandNeckSurgeon #CancerSurgeon #SurgicalOncologist #ThyroidCancer #ThyroidInfection #SurgicalSiteInfection

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