World Journal of Endocrine Surgery

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VOLUME 12 , ISSUE 1 ( January-April, 2020 ) > List of Articles

RESEARCH ARTICLE

Assessing the Safety of Day Care Thyroidectomy in Indian Population: A Prospective Study

Devender Singh, Yashwant S Rathore, Sandeep Jain, Gaurav Joshi, Gurpremjit Singh, Vitish Singla

Citation Information : Singh D, Rathore YS, Jain S, Joshi G, Singh G, Singla V. Assessing the Safety of Day Care Thyroidectomy in Indian Population: A Prospective Study. World J Endoc Surg 2020; 12 (1):14-17.

DOI: 10.5005/jp-journals-10002-1272

License: CC BY-NC 4.0

Published Online: 20-08-2020

Copyright Statement:  Copyright © 2020; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

In the era of improved surgical and anesthetic techniques, the day care thyroidectomies have been found to be associated with improved patient performance and convenience, and reduced exposure to hospital-acquired complications leading to reduced overall morbidity. However, these benefits are still questioned due to certain postoperative complications. Aim: The aim of this study was to observe the follow-up of patients undergoing day care thyroidectomy operations and determine the safety of day care thyroidectomy in Indian population. Materials and methods: This was a single center, in-hospital, prospective, uncontrolled observational study. A total number of 50 patients were included in the study. The study was conducted in the Department of Surgical Disciplines, All India Institute of Medical Sciences (AIIMS), New Delhi, with the duration from January 2016 to September 2017. After assessing the inclusion and exclusion criteria, proper workup and taking informed written consent, patients were taken up for day care thyroidectomy. These patients were observed and followed up on day 0, day 7, and day 30 postoperatively for any thyroidectomy-related complications. Results: The mean age for the study population was 35.6 ± 11.27 years (18–60 years). Out of 50, 35 (70%) were females and the female-to-male ratio was 2.25:1. Out of 50 (2%), 1 patient had a postoperative hematoma formation, 2/50 (4%) patients had postoperative transient hypocalcaemia, and 1/50 (2%) patient had postoperative voice changes. Conclusion: This study showed that day care thyroidectomy is a safe and feasible approach with a supporting caregiver and accessible emergency services. Clinical significance: In a developing country like India with limited resources, day care thyroidectomy can provide a safe and better cost-effective alternative to the routinely practiced in-patient thyroidectomy.


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  1. Terris DJ, Snyder S, Carneiro-Pla D, et al. American thyroid association statement on outpatient thyroidectomy. Thyroid 2013;23(10): 1193–1202. DOI: 10.1089/thy.2013.0049.
  2. Diongi G, Rovera F, Carrafielo G, et al. Ambulatory thyroid surgery: need for stricter patient selection criteria. Int J Surg 2008;6(Suppl 1): S19–S21.
  3. Promberger R, Ott J, Kober F, et al. Risk factors for post-operative bleeding after thyroid surgery. Br J Surg 2012;99(3):373–379. DOI: 10.1002/bjs.7824.
  4. Leyre P, Desurmont T, Lacoste L, et al. Does the risk of compressive hematoma after thyroidectomy authorize 1-day surgery? Langenbecks Arch of Surg 2008;393(5):733–737. DOI: 10.1007/s00423-008-0362-y.
  5. Burkey SH, van Heerden JA, Thompson GB, et al. Reexploration for symptomatic hematomas after cervical exploration. Surgery 2001;130(6):914–920. DOI: 10.1067/msy.2001.118384.
  6. Weiss A, Lee KC, Brumund KT, et al. Risk factors for hematoma after thyroidectomy: results from the nationwide inpatient sample. Surgery 2014;156(2):399–404. DOI: 10.1016/j.surg.2014.03.015.
  7. Trottier DC, Barron P, Moonje V, et al. Outpatient thyroid surgery: should patients be discharged on the day of their procedures? Can J Surg 2009;52(3):182–186.
  8. Doran HE, England J, Palazzo F, et al. Questionable safety of thyroid surgery with same day discharge. Ann R Coll Surg Engl 2012;94(8):543–547. DOI: 10.1308/003588412X13373405384576.
  9. Snyder SK, Hamid KS, Roberson CR, et al. Outpatient thyroidectomy is safe and reasonable: experience with more than 1,000 planned outpatient procedures. J Am Coll Surg 2010;210(5):575–582, 582–584 10.1016/j.jamcollsurg.2009.12.037.
  10. Inabnet WB, Shifrin A, Ahmed L, et al. Safety of same day discharge in patients undergoing sutureless thyroidectomy: a comparison of local and general anesthesia. Thyroid 2008;18(1):57–61. DOI: 10.1089/thy.2007.0148.
  11. Terris DJ, Moister B, Seybt MW, et al. Outpatient thyroid surgery is safe and desirable. Otolaryngol Head Neck Surg 2007;136(4):556–559. DOI: 10.1016/j.otohns.2006.09.024.
  12. Sklar M, Ali MJ, Solomon P. Outpatient thyroid surgery in a Toronto community hospital. J Otolaryngol Head Neck Surg 2011;40(6): 458–461.
  13. Houlton JJ, Pechter W, Steward DL. PACU PTH facilitates safe outpatient total thyroidectomy. Otolaryngol Head Neck Surg 2011;144(1):43–47. DOI: 10.1177/0194599810390453.
  14. Seybt MW, Terris DJ. Outpatient thyroidectomy: experience in over 200 patients. Laryngoscope 2010;120(5):959–963. DOI: 10.1002/lary.20866.
  15. Khadra H, Mohamed S, Hauch A, et al. Safety of same-day thyroidectomy: meta-analysis and systematic review. Gland Surg 2017;6(4):292–301. DOI: 10.21037/gs.2017.01.05.
  16. Mazeh H, Khan Q, Schneider DF, et al. Same-day thyroidectomy program: eligibility and safety evaluation. Surgery 2012;152(6): 1133–1141. DOI: 10.1016/j.surg.2012.08.033.
  17. Sahmkow SI, Audet N, Nadeau S, et al. Outpatient thyroidectomy: safety and patient's satisfaction. J Otolaryngol Head Neck Surg 2012;41(Suppl 1):S1–S12.
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