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Drain placement in thyroidectomy is associated with longer hospital stay without preventing hematoma

The Laryngoscope Sep 18, 2019

Maroun CA, El Asmar M, Park SJ, et al. - Experts conducted this retrospective study to investigate the impact of drain placement on postoperative hematoma formation and other associated outcomes post–thyroid surgery in a large national cohort. They analyzed data from the 2016–2017 National Surgical Quality Improvement Program (NSQIP) public use files. Between drain and no drain cohorts, baseline features and perioperative outcomes were contrasted. The study sample consisted of 11,626 patients (3,281 had a drain placed intraoperatively and 8,345 did not). According to findings, drain placement after thyroidectomy had no significant effect on postoperative hematoma formation. Drain placement in these patients should not be used regularly. However, consideration should be given to the surgeon's judgment and intraoperative factors as to when to place a drain. On average, patients receiving a drain were 4.63 times as likely to stay in the hospital for 2 days or more compared with those not receiving a drain.
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