Republication de : Complications of revision surgery in case of bleeding after thyroid surgery: a systematic review

Q4 Medicine Annales Francaises d''Oto-Rhino-Laryngologie et de Pathologie Cervico-Faciale Pub Date : 2023-09-01 DOI:10.1016/j.aforl.2023.07.001

F. Galluzzi , W. Garavello

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Abstract

Objectives

The aim of this review is to evaluate complications in patients undergoing surgical control of bleeding after thyroid surgery. Secondly, we have analyzed the rate of the main complications.

Methods

The databases PubMed and EMBASE were searched for articles regarding complications after revision thyroid surgery for bleeding. A Systematic review methodology based on Preferred Reporting Items for Systematic Reviews and Meta-analysis was performed.

Results

Nine studies met the inclusion criteria, six are retrospectives and three retrospectives controlled. The overall rate of bleeding after thyroid surgery was 1.38%. In these patients, the most common complication after revision surgery for bleeding is hypoparathyroidism 24.9% (95% CI: 20.7–29.5) followed by recurrent laryngeal nerve injury 8.1% (95% CI: 6.4–10.1) and wound infection 4.5% (95% CI: 2.5–7.6). Tracheostomy and other lethal complications are rarely described.

Conclusion

Although rare, complications after surgical control of bleeding in patients undergoing thyroid surgery can be serious. Therefore, in order to optimize the surgical outcomes, standardized protocol providing early detection and precise hemostasis procedure, is needed. Specific patient-informed consent for this condition should be created.

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再版：甲状腺手术后出血的翻修手术并发症：一项系统综述

目的本综述旨在评估甲状腺手术后出血控制患者的并发症。其次，我们分析了主要并发症的发生率。方法检索PubMed和EMBASE数据库中关于甲状腺手术后出血并发症的文章。进行了基于系统评价和荟萃分析首选报告项目的系统评价方法。结果9项研究符合纳入标准，6项为回顾性研究，3项为对照研究。甲状腺手术后的总出血率为1.38%。在这些患者中，翻修手术后出血最常见的并发症是甲状旁腺功能减退24.9%（95%CI:20.7-29.5），其次是喉返神经损伤8.1%（95%CI:6.4-101）和伤口感染4.5%（95%CI:2.5-7.6）。气管造口术和其他致命并发症很少描述。结论甲状腺手术后出血控制的并发症虽然罕见，但可能严重。因此，为了优化手术结果，需要提供早期检测和精确止血程序的标准化方案。应针对这种情况创建特定的患者知情同意书。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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