The role of drain in thyroid surgery
https://doi.org/10.17650/2222-1468-2025-15-2-51-55
Abstract
Introduction. The function of drains in thyroid surgery has long been a matter of discussion, with the possible advantages of avoiding complications being weighed against the risks and discomfort they could cause. By examining not only what is medically effective but also what actually benefits the patient’s recovery and well-being.
Aim. To assess the importance of the drainage with the thyroidectomy operations.
Materials and methods. A retrospective study was conducted over four years and included 148 patients that had thyroid surgery without using a drain. The ultrasound was used preoperatively in classifying the thyroid pathologies and the sizes of the gland and postoperatively in assessment and treatment of surgical site collection. The hospital stay, post-operative complications related to surgical drainage, and the way of dealing with them for each patient were recorded.
Results. The types of goiter were 8 diffuse, 68 multinodular, and 72 solitary thyroid nodule that were treated by different types of thyroidectomies without drainage (25 by subtotal thyroidectomy (16.8 %), 12 by total lobectomy and isthmesctomy (8.1 %) and 111 by total thyroidectomy (75 %)). There were no operation site collections in 94 % of the cases; 9 cases only had developed post-operative collection, and all were resolved by simple needle aspiration.
Conclusion. There is no role for the drain with thyroid surgery, and thyroidectomies can be considered a day case surgery.
References
1. Moss J.P. Historical and modern views on surgical drainage. Surg Gynecol Obstet 1981;152(4):517–27.
2. Vagholkar K. Principles of surgical drainage. Surgery 2000;4:45–7.
3. Haddad F.S. Abulcasis. Abbottempo 1968;3:22–5.
4. Gooda M.R., Oonwala Z.G., Khan S.A. Use of drainage after thyroid surgery: is it evidence based. Pak J Surg 2007;23(3):173–6.
5. Brent G.A. Mechanisms of thyroid hormone action. J Clin Invest 2012;122(9):3035–43. DOI: 10.1172/jci60047
6. Teng X., Hu F., Teng W. et al. The study of thyroid diseases in a community not using iodized salt. Zhonghua Yu Fang Yi Xue Za Zhi 2002;36(3):176–9.
7. Knudsen N., Bülow I., Jørgensen T. et al. Goitre prevalence and thyroid abnormalities at ultrasonography: a comparative epidemiological study in two regions with slightly different iodine status. Clin Endocrinol 2000;53(4):479–85. DOI: 10.1046/j.1365-2265.2000.01121.x
8. Awad S.A.S., Ashraf E.M., Khaled A.S. et al. The epidemiology of thyroid diseases in the Arab world: a systematic review. J Public Health Epidemiol 2016;8(2):17–26. DOI: 10.5897/jphe2015.0713
9. Kalemera S., Fualal J., Jombwe J., Galukande M. to drain or not to drain after thyroid surgery: a randomized controlled trial at a tertiary Hospital in East Africa. African Health Sci 2013;13(3): 748–55. DOI: 10.4314/ahs.v13i3.33
10. Bergamaschi R., Becouarn G., Ronceray J., Arnaud J.P. Morbidity of thyroid surgery. Am J Surge 1998;176(1):71–5. DOI: 10.1016/s0002-9610(98)00099-3
11. Reiners C., Wegscheider K., Schicha H. et al. Prevalence of thyroid disorders in the working population of Germany: ultrasonography screening in 96,278 unselected employees. Thyroid 2004;14(11):926–32. DOI: 10.1089/thy.2004.14.926
12. Ogbera A., Kuku S. Epidemiology of thyroid diseases in Africa. Ind J of Endocrinol Metab 2011;15(6):82. DOI: 10.4103/2230-8210.83331
13. Al-Subaiee I.N., Al-Rikaby H. Prevalence of thyroid incidentaloma detected by high-resolution ultrasound and their potential risk of malignancy in healthy individuals in Basrah Province. Med J Babylon 2019;16(3):252. DOI: 10.4103/mjbl.mjbl_31_19
14. Safi M.A., Alhelfy S.H. Intracapsular total thyroidectomy experience and outcome for benign thyroid diseases. Med J Babylon 2022;19(2):176–9. DOI: 10.4103/mjbl.mjbl_92_21
15. Sanabria A., Carvalho A.L., Silver C.E. et al. Routine drainage after thyroid surgery – a meta‐analysis. J Surg Oncol 2007;96(3):273–80. DOI: 10.1002/jso.20821
16. Wihlborg O. To drain or not to drain in thyroid surgery. Arch Surg 1988;123(1):40. DOI: 10.1001/archsurg.1988.01400250042007
17. Shaha A.R., Jaffe B.M. Selective use of drains in thyroid surgery. Journal of surgical oncology 1993;52(4):241–3.
18. Hurtado-López L.M., López-Romero S., Rizzo-Fuentes C. et al. Selective use of drains in thyroid surgery. Head Neck 2001;23(3):189–93. DOI: 10.1002/1097-0347(200103)23:3
19. Suslu N., Vural S., Oncel M. et al. Is the insertion of drains after uncomplicated thyroid surgery always necessary? Surgery Today 2006;36(3):215–8. DOI: 10.1007/s00595-005-3129-x
20. Brunicardi F., Andersen D., Billiar T. et al. Schwartz’s principles of surgery. 10th edn. McGraw-hill, 2014.
21. Ortega G., Rhee D.S., Papandria D.J. et al. An evaluation of surgical site infections by wound classification system using the ACS-NSQIP. J. Surg Res 2011;174(1):33–8. DOI: 10.1016/j.jss.2011.05
Review
For citations:
Al-Sa’adi M.H. The role of drain in thyroid surgery. Head and Neck Tumors (HNT). 2025;15(2):51-55. https://doi.org/10.17650/2222-1468-2025-15-2-51-55
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