Life-threatening neck hematoma complicating thyroid and parathyroid surgery.

Life-threatening neck hematoma complicating thyroid and parathyroid surgery. Research Abstract Details 

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Life-threatening neck hematoma complicating thyroid and parathyroid surgery. Abstract Text:

BACKGROUND: Observation following thyroidectomy and parathyroidectomy has been progressively shortened. The challenge has been to reduce the duration of postoperative observation without jeopardizing patient safety. METHODS: A retrospective review of patients who underwent thyroidectomy and/or parathyroidectomy between July 1990 and March 2007 was completed to determine the frequency of life-threatening hematoma and hospital readmission and their impact on postoperative observation. RESULTS: Of 1,050 patients, life-threatening hematoma developed in 6 (.6%) patients, 5 following bilateral and 1 following unilateral thyroidectomy. Hematoma developed 10 minutes to 7 days postoperatively, four within 4 hours, one at 21 hours, and one at 7 days. Twelve patients were readmitted an average of 5 days postoperatively for hypocalcemia, hematoma, infection, or respiratory distress. CONCLUSION: Without factors contributing to bleeding, unilateral thyroidectomy and parathyroidectomy can be performed as an ambulatory procedure. To maximize safety, we recommend 4-hour and 23-hour observation following unilateral and bilateral thyroidectomy, respectively.

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Life-threatening neck hematoma complicating thyroid and parathyroid surgery. Journal Published:

PUBLICATION TYPE: Journal Article

Journal: American journal of surgery

VOLUME: 195

Page Numbers: 339-43

Journal Abbreviation: Am. J. Surg.

ISSN: 0002-9610

DAY: 29

MONTH: Mar

YEAR: 2008

Life-threatening neck hematoma complicating thyroid and parathyroid surgery. Information

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LANGUAGE: eng

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Grant and Affiliation Information for Life-threatening neck hematoma complicating thyroid and parathyroid surgery.

AFFILIATION: Department of Surgery, MetroHealth Medical Center, 2500 MetroHealth Dr., Cleveland, OH 44109, USA.

Country: United States

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MEDLINETA: Am J Surg

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