Download Citation on ResearchGate | Complicaciones de la cirugía tiroidea | En este articulo se El uso de drenajes en el lecho operatorio de la tiroidectomia es controvertido, razon por la cual se Experiencia clínica en tiroidectomía total. Complicaciones más frecuentes; Hipocalcemia transitoria % – a seis meses; Hipocalcemia definitiva – 5% – post-tireidectomia total. Por lo tanto, después de la extirpación total de la tiroides y la ablación, los niveles de tiroglobulina en la sangre deberán ser muy bajos o.

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Surg Today, 36pp.

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Continuing navigation will be considered as acceptance of this use. Is the routine drainage after surgery for thyroid necessary?

The Ultracision Harmonic scalpel system is the technique of choice for thyroid surgery. The reduction in group B of cases with superficial haematoma tiroidectomis ecchymosis, granulomas, recurrent paralysis, permanent hypoparathyroidism and wound infection was not statistically significant.

Sincewe have used the available haemostasis techniques applied to thyroid surgery: Haemorrhage has been one of the most frequent, serious complications in thyroidectomy, which is not only affected by the technical precision but also by other factors such as vomiting, 21 coughing, 30,31 arterial hypertension, treatment with antiplatelet and anticoagulant drugs, technique employed complete lymph node dissection, total thyroidectomy versus partial thyroidectomy, reoperation and thyroid disease hyperthyroidism, Graves—Basedow disease, malignant tumours, substernal extension of goitre.

Introduction There have been significant technological advances for hemostasis in thyroid surgery, that allow more precise and safer vascular sealing than the traditional bond associated with mono- or bipolar electrocoagulation.



Hemostasis in thyroid surgery: Primarycompared with completion thyroidectomy. Hypoparathyroidism with verification of recovery of PTH levels within 6 postoperative months. Table 1 shows the characteristics of the sample. This content is reviewed regularly and is updated when new and relevant evidence is made available. Critics of this technique argue about the increased risk of postoperative complications, however in referral centers is shown that this does not happen. Vascular clips were not used.

Int J Clin Pract, 61pp. Reoperation for postoperative haemorrhagic complications, analysis of a year series. For descriptive purposes, patients are shown grouped as those without risk factors, with one or 2 risk factors or with more than 2 risk factors. Superficial haemorrhage or ecchymosis not requiring surgical review. Totalization to eliminate thyroid remnants increased the overall risk of complications in both groups.

The use of the harmonic scalpel in thyroidectomy: Total thyroidectomy does not enhance disease control or survival even in high-risk patients with differentiated thyroid cancer.

Of suffering 1 or more complications.

Hemostatic Systems in Thyroid Surgery and Complications | Acta Otorrinolaringológica Española

LigaSure vs Clamp-and-Tie technique to achieve hemostasis in total thyroidectomy for benign multinodular goiter: Time interval elapsed from the incision until the suture of the skin plane. Conclusions The Ultracision Harmonic scalpel system is the technique of choice for thyroid surgery. In the period —, 10 patients required ICU stay, all in relation to complications in the immediate postoperative period suffocating haematoma, reintubation and laryngeal paralysis.

J Otolaryngol Head Neck Surg, 39pp. Reduces the amount of fluid drained. Ann Chir,pp. Eur J Cancer Oncol ; Is the insertion of drains after uncomplicated thyroid surgery always necessary?. Completion thyroidectomy for differentiated thyroid carcinoma.

Acta Endocrinol Copenh ; The reduction of surgical time which enables more patients to be intervened at the same time and of complications and patient discomfort such as paininvolve a shorter hospital stay. Drainage after thyroid surgery: Presented temporary hypocalcemia Wound drainage was placed for at least 48 h in all patients.


Tirroidectomia of an international survey.

Acta Chir Scand,pp. Since Octoberno patient has required ICU stay. Arch Surg, ccomplicaciones, pp. Anesthesiology, 49pp. Resultados En el grupo B se produjeron significativamente menos complicacionss incidencia global de 0,95 frente al 4,06 en el grupo A: There were 3 cases associated with papillary carcinoma 2 left unilateral and one bilateral case and 6 with mediastinal extension right recurrent paralysis. The abundance of publications leads to confusion with redundant information and mixed results; these range from articles that report similar results in haemostasis with ligation and LigaSure 12 to others reporting higher incidence of recurrent lesion and hypocalcemia with the use of Harmonic and LigaSure.

Arch Otolaryngol Head Neck Surg,pp. Moreover, the reduction in surgical time and length of hospital stay and increase in number of patients operated was also statistically significant. With more than 2 RF.

Servicio de Publicaciones [electronic resources]. Reduces the cost by shortening operative time and hospital stay and increasing activity. Persistent paralysis of the recurrent nerve that has not recovered by the sixth month.

Harmonic scalpel vs electrocautery hemorrhoidectomy: Spanish pdf Article in xml format Article references How to cite this article Automatic translation Send this article by e-mail.