Post-thyroidectomy hematoma : a rare but potentially fatal complication

作者: Ravishankara S , Mohan Appaji , Sarika S Naik , Sudhir M Naik , Gautham Mk

DOI:

关键词:

摘要: Background/ objectives: Post-thyroidectomy he-matoma is a rare but fatal complication of thy-roidectomy. The incidence hematoma has dropped to less than 2-3% due better preoper-ative preparation & major refinements in surgical techniques. Setting: Department ENT, Head Neck Sur-gery, KVG Medical College, Sullia. Case report: We report case post- thyroidec-tomy an elective surgery done for large thyroid. occurred 15 minutes after was managed success-fully under general anaesthesia. Intervention: Urgent evacuation the hemato-ma anaesthesia bleeders were re-ligated. 2 pints A+ blood transfused. Conclusion: leading airway obstruction complica-tion which needs emergency management. Post-operative care include attention drain, careful monitoring recovery room ap-preciation subtle signs respiratory distress. So every thyroidectomy can bleed cause complication. Prevention early in-tervention avoid complications.

参考文章(14)
Agarwal A, Mishra Sk, Post-thyroidectomy haemorrhage: an analysis of critical factors in successful management. Journal of the Indian Medical Association. ,vol. 95, pp. 418- ,(1997)
William B. Farrar, Complications of Thyroidectomy Surgical Clinics of North America. ,vol. 63, pp. 1353- 1361 ,(1983) , 10.1016/S0039-6109(16)43193-2
Michael A. Rosenbaum, Manjunath Haridas, Christopher R. McHenry, Life-threatening neck hematoma complicating thyroid and parathyroid surgery The American Journal of Surgery. ,vol. 195, pp. 339- 343 ,(2008) , 10.1016/J.AMJSURG.2007.12.008
Jane Harding, Frederic Sebag, Mauricio Sierra, F. Fausto Palazzo, Jean-François Henry, Thyroid surgery: postoperative hematoma—prevention and treatment Langenbeck's Archives of Surgery. ,vol. 391, pp. 169- 173 ,(2006) , 10.1007/S00423-006-0028-6
Wen T Shen, Electron Kebebew, Quan-yang Duh, Orlo H Clark, Predictors of Airway Complications After Thyroidectomy for Substernal Goiter Archives of Surgery. ,vol. 139, pp. 656- 660 ,(2004) , 10.1001/ARCHSURG.139.6.656
Shelby H. Burkey, Jon A. van Heerden, Geoffrey B. Thompson, Clive S. Grant, Cathy D. Schleck, David R. Farley, Reexploration for symptomatic hematomas after cervical exploration Surgery. ,vol. 130, pp. 914- 920 ,(2001) , 10.1067/MSY.2001.118384
Ashok R. Shaha, Bernard M. Jaffe, Practical management of post‐thyroidectomy hematoma Journal of Surgical Oncology. ,vol. 57, pp. 235- 238 ,(1994) , 10.1002/JSO.2930570406
Alvaro Sanabria, André L Carvalho, Carl E Silver, Alessandra Rinaldo, Ashok R Shaha, Luiz P Kowalski, Alfio Ferlito, None, Routine drainage after thyroid surgery—A meta-analysis Journal of Surgical Oncology. ,vol. 96, pp. 273- 280 ,(2007) , 10.1002/JSO.20821
Yvedt L. Matory, Ronald H. Spiro, Wound bleeding after head and neck surgery Journal of Surgical Oncology. ,vol. 53, pp. 17- 19 ,(1993) , 10.1002/JSO.2930530107
Hyoung Shin Lee, Bong Ju Lee, Sung Won Kim, Young Woo Cha, Young Sik Choi, Yo Han Park, Kang Dae Lee, Patterns of Post-thyroidectomy Hemorrhage. Clinical and Experimental Otorhinolaryngology. ,vol. 2, pp. 72- 77 ,(2009) , 10.3342/CEO.2009.2.2.72