Does adrenaline spraying over thyroidectomy area reduce bleeding?

International Journal of Clinical and Experimental Medicine

Merve B Cengiz¹  Naim Memmi¹  Aysenur Meric¹  Gokhan Cipe¹  Suleyman Bozkurt¹  Mahmut Muslumanoglu¹  Huseyin Kadioglu¹  Erhan Aysan¹  Yeliz E Ersoy¹ 

关键词: Adrenaline;    thyroid;    bleeding;    thyroidectomy;    hematoma;   

DOI  :  

学科分类：医学（综合）

来源: e-Century Publishing Corporation

【 摘 要 】

Background: Means to prevent and control intra- or postoperative bleeding remain a topic of utmost importance in thyroidectomy. In this randomised clinical trial, we used adrenaline spraying to see if it helps bleeding control and reduces drainage and hematoma formation after thyroidectomy. Methods: After total thyroidectomy, 1 mg/ml adrenaline solution in 10 ml saline was sprayed all over the operation area by a syringe in 40 patients of “Adrenaline (+) Group”. In the other 40 patients in “Adrenaline (-) Group”, only standart total thyroidectomy was performed. Drainage amounts of 24 hours were recorded. Results: Among 80 patients, 66 (82.5%) were female and 14 (17.5%) were male. The daily drainage amounts of the Adrenaline (+) Group were found statistically significantly lower than the Adrenaline (-) Group (p<0.05). In both of the groups, thyroid volumes were significantly correlated with the drainage amounts. “p” values were 0.008 and <0.001 in Adrenaline (+) and Adrenaline (-) Groups, respectively. Conclusions: Preliminary experience using adrenaline has been encouraging and it is useful as an adjunct to thyroid surgery in order to prevent hemorrhagia and give up drain placement. But prospective randomized trials using adequate patient numbers are still needed to validate efficacy and safety.

【 授权许可】

Unknown