Practical management of post‐thyroidectomy hematoma

摘要: Thyroid diseases and surgery for thyroid neoplasms are both very common. Several complications of thyroidectomy well known. Some these quite disturbing, such as recurrent laryngeal nerve injury permanent hypoparathyroidism. However, postoperative hematoma often in the recovery room may be fatal. Close observation early intervention utmost necessity post-thyroidectomy period. In a series 600 thyroidectomies performed over period 11 years, eight patients developed hematoma. Seven them underwent re-exploration, while one patient was treated conservatively. Two had second re-exploration reaccumulation. All recovered after except elderly who required ventilatory support due to poor pulmonary reserve; week tracheostomy, she too well. One re-explored late 24 hours operation, remainder were within 4-6 initial procedure. Because extent edema larynx pharyngeal wall, it is important that senior, experienced person perform intubation patients. It also recognize when lie down flat, they develop acute airway distress; hence, must prepared intubate emergently. We recommend close exploration evacuation all A conservative approach considered selected with minimal no progression. generally takes long time resorb. better understanding will minimize morbidity make safer procedure surgical triumph.