INCIDENCE AND CIRCUMSTANCES OF CERVICAL HEMATOMA COMPLICATING THYROIDECTOMY AND ITS RELATIONSHIP TO POSTOPERATIVE VOMITING

被引：26

作者：

Bononi, Marco ^{[1
]}

Bonapasta, Stefano Amore ^{[1
]}

Vari, Alessandra ^{[2
]}

Scarpini, Massimo ^{[1
]}

De Cesare, Alessandro ^{[1
]}

Miccini, Michelangelo ^{[1
]}

Meucci, Massimo ^{[1
]}

Tocchi, Adriano ^{[1
]}

机构：

[1] Univ Roma La Sapienza, Dept Surg Pietro Valdoni, Rome, Italy

[2] Univ Roma La Sapienza, Dept Anesthesia Crit Care & Pain Med, Rome, Italy

来源：

HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK | 2010年 / 32卷 / 09期

关键词：

thyroidectomy; cervical hematoma; risk factor; vomiting; ambulatory surgery; SURGERY; NAUSEA; RISK;

D O I：

10.1002/hed.21313

中图分类号：

R76 [耳鼻咽喉科学];

学科分类号：

100213 ;

摘要：

Background. Cervical hematoma is hardly a predictable complication of thyroid surgery. Postoperative vomiting has been reported as a likely risk factor. Methods. Five hundred sixty-two patients undergoing thyroidectomy were prospectively enrolled in the study and divided into 2 groups. Patients in group A received ondansetron to prevent postoperative vomiting. In group B, patients with low vomiting risk received ondansetron whereas patients at high risk received ondansetron plus dexamethasone. Postoperative outcomes of the groups were analyzed and compared. Results. Cervical hematomas developed in 3 patients (0.53%): 2 in group A and 1 in group B. All hematomas occurred after 6 hours. The incidence of postoperative vomiting was 11.4% in group A and 6.4% in group B (p = .04). Conclusion. Careful hemostasis remains of prime importance in preventing cervical hematoma. Postoperative vomiting has not been confirmed by this study as a risk factor for the development of hematoma. Ambulatory thyroid surgery is not advisable. (c) 2009 Wiley Periodicals, Inc. Head Neck 32: 1173-1177, 2010

引用

页码：1173 / 1177

页数：5

共 17 条

[1] Re-operation for bleeding after thyroidectomy and parathyroidectomy [J].

Abbas, G ;

Dubner, S ;

Heller, KS .

HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK, 2001, 23 (07) :544-546

[2] Comparison of predictive models for postoperative nausea and vomiting [J].

Apfel, CC ;

Kranke, P ;

Eberhart, LHJ ;

Roos, A ;

Roewer, N .

BRITISH JOURNAL OF ANAESTHESIA, 2002, 88 (02) :234-240

[3] A simplified risk score for predicting postoperative nausea and vomiting -: Conclusions from cross-validations between two centers [J].

Apfel, CC ;

Läärä, E ;

Koivuranta, M ;

Greim, CA ;

Roewer, N .

ANESTHESIOLOGY, 1999, 91 (03) :693-700

[4] Morbidity of thyroid surgery [J].

Bergamaschi, R ;

Becouarn, G ;

Ronceray, J ;

Arnaud, JP .

AMERICAN JOURNAL OF SURGERY, 1998, 176 (01) :71-75

[5]

Biedler A, 2004, CAN J ANAESTH, V51, P13, DOI 10.1007/BF03018540

[6] Reexploration for symptomatic hematomas after cervical exploration [J].

Burkey, SH ;

van Heerden, JA ;

Thompson, GB ;

Grant, CS ;

Schleck, CD ;

Farley, DR .

SURGERY, 2001, 130 (06) :914-920

[7] AIRWAY COMPLICATIONS IN THYROID-SURGERY [J].

LACOSTE, L ;

MONTAZ, N ;

BERNIT, AF ;

GINESTE, D ;

LEHUEDE, MS ;

BARBIER, J ;

KARAYAN, J ;

GIRAULT, M ;

FUSCIARDI, J .

ANNALS OF OTOLOGY RHINOLOGY AND LARYNGOLOGY, 1993, 102 (06) :441-446

[8] Does the risk of compressive hematoma after thyroidectomy authorize 1-day surgery? [J].

Leyre, Pierre ;

Desurmont, Thibault ;

Lacoste, Louis ;

Odasso, Chiara ;

Bouche, Gauthier ;

Beaulieu, Anthony ;

Valagier, Alexandre ;

Charalambous, Charalambos ;

Gibelin, Helene ;

Debaene, Bertrand ;

Kraimps, Jean-Louis .

LANGENBECKS ARCHIVES OF SURGERY, 2008, 393 (05) :733-737

[9] WOUND BLEEDING AFTER HEAD AND NECK-SURGERY [J].

MATORY, YL ;

SPIRO, RH .

JOURNAL OF SURGICAL ONCOLOGY, 1993, 53 (01) :17-19

[10] Day-case and short-stay surgery: the future for thyroidectomy? [J].

Mirnezami, R. ;

Sahai, A. ;

Symes, A. ;

Jeddy, T. .

INTERNATIONAL JOURNAL OF CLINICAL PRACTICE, 2007, 61 (07) :1216-1222

← 1 2 →