A Comparative Study of Lobectomy and Isthmusectomy with and Without Drain in Solitary Nodule of Thyroid
Abstract
Background: A thyroidectomy, is a very common procedure. Regardless of the findings of many clinical trials, there is no conclusive evidence supporting or opposing routine draining. Indeed, numerous studies have demonstrated that drains can exacerbate patient discomfort and infection risk.
Objective: When treating a single thyroid lesion, the study attempts to evaluate the results of lobectomy against isthmusectomy with and without drain.
Methods: The study was a randomized control trial conducted in NAME OF HOSPITAL, within a 6 month after the approval of synopsis. The outpatient department collected data on 80 patients admitted to the east surgical ward who met the aforementioned conditions for history, examination, and investigation. As a result, each patient completed an informed consent form in writing. The process was aided by a consultant. A lottery was utilised to divide the patients into two distinct groups. For the first 24 hours following surgery, patients were followed for pain and length of stay in the hospital.
Results: Patients in Group A had an average age of 35.87 ±13.40SD years, whereas those in Group B had an average age of 41.21 ±10.29SD years. Group A consisted of ten men and thirty women, while Group B consisted of nine men and thirty-one women. Patients in Groups A and B were hospitalised for an average of 1.86 ±0.58SD days. On the first postoperative day, Group A had a mean pain score of 2.62 ±0.48SD, while Group B had a mean pain score of 2.14 ±0.33SD. Group-B patients had a considerably shorter hospital stay and a lower mean pain score on the first postoperative day.
Conclusion: According to the findings of this study, patients with a solitary thyroid nodule can benefit from a shorter hospital stay and lower pain scores when they have thyroid surgery without a drain.