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Download Citation on ResearchGate | Complicaciones de la cirugía tiroidea | En este articulo se El uso de drenajes en el lecho operatorio de la tiroidectomia es controvertido, razon por la cual se Experiencia clínica en tiroidectomía total. Complicaciones más frecuentes; Hipocalcemia transitoria % – a seis meses; Hipocalcemia definitiva – 5% – post-tireidectomia total. Por lo tanto, después de la extirpación total de la tiroides y la ablación, los niveles de tiroglobulina en la sangre deberán ser muy bajos o.

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Numerous studies attempting to assess and provide recommendations based on evidence have found problems such as the scarcity of samples, lack of technique standardization and heterogeneity of design. The authors have no conflicts of interest tjroidectomia declare. Drainage after total thyroidectomy or lobectomy for benign thyroidal disorders. The effectiveness and efficiency of the Harmonic system have been sufficiently demonstrated in the literature.

Deep haemorrhage or haematoma that required reoperation. Completion thyroidectomy for differentiated thyroid carcinoma. Am Surg, 75pp. Ann Chir,pp. To improve our services and products, we use “cookies” own or third parties authorized to show advertising related to client preferences through the analyses of navigation customer behavior. Dis Colon Rectum, 44pp. Surgery,pp. Hospital discharge took place 24 h after removing the drain or in the first 18 h in patients included in the short-stay program.

Distribution of the Sample. Is suction drainage an effective means of preventing hematoma in thyroid surgery? Complicaciines complications are due to various factors. Harmonic fromwhich is currently the standard technique for thyroidectomy at our hospital. Ipsilateral lobectomy versus bilateral lobar resection in papillary thyroid carcinoma: Ann Surg Oncol; How to cite this article.


Tiroidectomía – Mayo Clinic

Reduces the volume of bleeding. To compare the complications in total thyroidectomy using traditional techniques ligation and electrocoagulation, including LigaSure compared tiroiidectomia the exclusive use of the Ultracision Harmonic scalpel, performing dissection, cutting and hemostasis simultaneously.

Collagen and proteoglycans are denatured and, when they mix with intracellular and interstitial fluid, form a gelatinous substance. In addition, there are reports of a lower incidence of haemorrhage 7,40,41 even in thyroidectomy associated to lymph node dissection 42 and reduced postoperative pain, probably due to less collateral tissue damage and to the fact that the period during which the patient compliaciones a hyperextended neck position is shorter, thus reducing headache and cervicalgia.

Mean hospital stay, days. Int J Clin Pract, 61pp. Multinodular goiter, total thyroidectomy, hypocalcemia, nerve injury.

Perioperative complications in thyroid gland surgery. The abundance of publications leads to confusion with redundant information and mixed results; these range from articles that report similar results in haemostasis with ligation and LigaSure 12 to others reporting higher incidence of recurrent lesion and hypocalcemia with the use of Harmonic and LigaSure. Transoral laser microsurgery as standard approach to ANZ J Surg, 79pp.


Improvement of surgical activity parameters was also significant for Group B: Relative Risk Calculated for Each Group. Am J Surg,pp. Surg Endosc, 13pp. A randomized, prospective, parallel group study comparing the harmonic scalpel to electrocautery in thyroidectomy.

complicaciones post tiroidectomia pdf

Services on Demand Article. This information is neither intended nor implied to be a substitute for professional medical advice.

The reduction in group B of cases with superficial haematoma or ecchymosis, granulomas, recurrent paralysis, totql hypoparathyroidism and wound infection was not statistically significant. Procure un medio de transporte para ir al hospital y volver a su hogar. Inflammatory signs with microbiological verification. Minimally invasive surgery for thyroid small nodules: We believe that the technique with the Ultracision Harmonic system is of choice for thyroidectomy because its mechanism of action causes less tissue damage, carries out dissection, haemostasis and cutting with a single instrument accurately and safely and is significantly faster.


Haemorrhage has been one of the most frequent, serious complications in thyroidectomy, which is not only affected by the technical precision but also by other factors such as vomiting, 21 coughing, 30,31 arterial hypertension, treatment with antiplatelet and anticoagulant drugs, technique employed complete lymph node dissection, total thyroidectomy versus partial thyroidectomy, com;licaciones and thyroid disease hyperthyroidism, Graves—Basedow disease, malignant tumours, substernal extension of goitre.

We recorded the following see definitions in Table 2: Complication derived from the surgical technique that puts the life of the patient at risk or leaves persistent sequelae. Ann Surg ; Modified lateral neck lymphadenectomy: Time interval elapsed from the incision until the suture of the skin plane.

There were 3 cases associated with papillary carcinoma 2 left unilateral and one bilateral case dw 6 with mediastinal extension right recurrent paralysis. J Dermatol Surg Oncol, 14pp. At least 1 unscheduled ICU stay resulting from a surgical complication.

Total thyroidectomy for differentiated thyroid carcinoma: Surg Endosc, 16pp. Drain placement after thyroid surgery: Eur J Surg ;