| ORIGINAL ARTICLE |
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| Year : 2011 | Volume
: 13
| Issue : 2 | Page : 125-129 |
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The evidence of safely using tisseel in drain-free thyroidectomies prospective cohort study
K AL-Qahtani
Department of Otolaryngology-Head & Neck Surgery King Abdulaziz University Hospital College of Medicine, King Saud University Riydah, Saudi Arabia
Correspondence Address:
MD. MSc. FRCSC K AL-Qahtani
Department of Otolaryngology-Head & Neck Surgery King Abdulaziz University Hospital College of Medicine, King Saud University Riydah
Saudi Arabia
 Source of Support: None, Conflict of Interest: None
DOI: 10.4103/1319-8491.274757
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Objectives: To evaluate the safely and effectively using of Hemostatic Fibrin Glue in drain-free thyroidectomies.
Study Design: Prospective cohort study of 25 patients undergoing thyroidectomies. Surgery was done using tessel without the use of surgical drains. The complication and duration of the hospital stay were obtained.
Methods: Thyroidectomies were undertaken by one surgeon. Prior to wound closure, the skin flap and wound bed were approximated using Tisseel tissue sealant, and no drains were used. Data regarding incidence of any complication and the duration of the hospital stay were obtained. Patients were followed to assess surgical outcome and document any complications.
Results: There were no cases of seroma, hematoma, recurrent laryngeal nerve paresis or paralysis. However, there were six patient who had hypocalcaemia post operatively. Three of those six patient had hypocalcaemia for one month, two patients had it for three months, and one patient had it for more than six months.
Conclusions: Thyroidectomies can be undertaken safely and effectively without the need for surgical drains. Hemostatic actions of fibrin glue precluded the necessity of usage of drains.
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