11. Incision caring for thyroid nodules surgery without drainage at Hanoi Medical University Hospital

Abstract

Thyroid nodules are the most common among endocrine gland tumors, including benign thyroid nodules and thyroid cancer. Surgery is the mainstay of treatment in thyroid nodules. Drainage making patients more painful after surgery, and at the same time prolonging hospital stay. WE conducted a randomized controlled trial. Study subjects were randomly divided into 2 groups: placement of drainage and no drainage by random selection before surgery. Total of 84 study subjects include patients with thyroid nodules who underwent surgery at the Department of Oncology and Palliative Care, Hanoi Medical University Hospital from May 2018 to November 2018. Average age was 47.12 ± 11.2 (17 - 76) years old; tumor palpable sign was 58.3%; 58.3% of nodules are in two lobes and nodules ≤ 10mm was 39.3%, TIRADS 4: 76.2%; and 58.3% thyroid cancer and 41.7% benign thyroid nodule. Univariate analysis of clinical characteristics between the two study groups: Similarities in age group, tumor size, number of tumors, histological diagnosis between the two intervention groups. Group without drainage had VAS0: 3.8 ± 0.2, VAS1: 2.3 ± 0.8, complications of fluid collection accumulation 9.5%, subcutaneous hematoma accumulation 4.8%, hypoparathyroidism 4.8%, hoarseness 7.1%, no cases of bleeding requiring reoperation and postoperative infection, hospital stay 4.7 ± 0.5 days, satisfaction level 4.6 ± 0.5, higher than drainage group. No drainage in several thyroid surgery cases is safe, with shortened surgery period, hospitalized period, and brings comfort and convenience to patients in the postoperative period.