医学
血清瘤
密封剂
外科
并发症
纤维蛋白
脊髓切除术
甲状腺癌
纤维蛋白组织粘合剂
纤维蛋白胶
甲状腺切除术
甲状腺
止血
喉
内科学
喉切除术
作者
Antonella Pino,Francesco Frattini,Hui Sun,Daqi Zhang,Che-Wei Wu,Hoon Yub Kim,Gianlorenzo Dionigi
出处
期刊:Surgical technology international
[Surgical Technology Online]
日期:2021-05-06
被引量:2
标识
DOI:10.52198/21.sti.38.so1441
摘要
Introduction: Post-thyroidectomy hemorrhage is a rare but potentially life-threatening and unpredictable complication of thyroid surgery. Therefore, intraoperative bleeding control and hemostasis are crucial. However, the most efficient, cost-effective, and standardized way to achieve this is not clear. This study aimed to evaluate the outcome of total thyroidectomy (TT) and partial thyroidectomy (PT) performed using the Vivostat® hemostatic system (Vivostat A/S, Lillerød, Denmark). Methods: Patients underwent TT and PT for benign and malignant diseases (multinodular goiter, Graves’ disease, differentiated thyroid carcinoma). The primary endpoint was 1st-day postoperative drain output and bleeding that required reintervention. Secondary endpoints included surgery duration and postsurgical complications (vocal fold palsy, hypocalcemia, seroma, wound infection). Results: Between October 2020 and December 2020, 56 patients were enrolled; 69.6% female; mean age 49.5 years. The mean 24-h drain output was 40 ml. No redo surgery was needed. Seroma was present in 5.3% of cases; no permanent vocal palsy or hypocalcemia was observed. Conclusion: This study shows that the Vivostat® system is both safe and effective for hemostasis during thyroid surgery.
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