Life-threatening neck hematoma complicating thyroid and parathyroid surgery

摘要: Abstract Background Observation following thyroidectomy and parathyroidectomy has been progressively shortened. The challenge to reduce the duration of postoperative observation without jeopardizing patient safety. Methods A retrospective review patients who underwent and/or between July 1990 March 2007 was completed determine frequency life-threatening hematoma hospital readmission their impact on observation. Results Of 1,050 patients, developed in 6 (.6%) 5 bilateral 1 unilateral thyroidectomy. Hematoma 10 minutes 7 days postoperatively, four within 4 hours, one at 21 days. Twelve were readmitted an average postoperatively for hypocalcemia, hematoma, infection, or respiratory distress. Conclusion Without factors contributing bleeding, can be performed as ambulatory procedure. To maximize safety, we recommend 4-hour 23-hour thyroidectomy, respectively.