Re‐operation for bleeding after thyroidectomy and parathyroidectomy
Abstract
Background: This study was undertaken to determine the frequency and timing of re‐operation for bleeding following thyroidectomy (THY) and parathyroidectomy (PARA) as well as the implications of this concerning the safety of ambulatory surgery. Methods: Patients requiring re‐operation after THY and PARA were identified from a computerized database of patients undergoing surgery between 3/l/95 and 12/31/99. The medical records of these patients were reviewed in detail. Results: Six of 918 THY (0.7%) and 4 of 350 PARA (1.1%) required re‐operation for bleeding. In two cases the wounds were opened emergently at the bedside due to worsening airway obstruction. One patient required an emergency tracheostomy. There were no deaths. Excluding one patient who bled five days post‐operatively, the time interval from the completion of surgery to the identification of postoperative hematoma ranged from 2 to 48 hours, the median being 16 hours. Conclusions: Postoperative bleeding is an uncommon but unavoidable complication of THY and PARA. If treated promptly, serious consequences can be avoided. The relatively long interval between the initial operation and the development of the hematoma needs to be considered when recommending the performance of these procedures on an ambulatory basis. © 2001 John Wiley & Sons, Inc. Head Neck 23: 544–546, 2001.
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The frequency of bleeding necessitating reoperation after thyroidectomy is 0.3%-0.7%.
“The frequency of bleeding necessitating reoperation is 0.3%-0.7%(202).”
From 2016 American Thyroid Association Guidelines for Diagnosis and Management of Hyperthyroidism and Other Causes of Thyrotoxicosis (2016) · cites this paper as [202]
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Ross, D. S., Burch, H. B., Cooper, D. S., Greenlee, M. C., Laurberg, P., Maia, A. L., Rivkees, S. A., Samuels, M., Sosa, J. A., Stan, M. N., et al. (2016) · Thyroid® · doi:10.1089/thy.2016.0229 · Cited by 2,938 · see citing works
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The American Thyroid Association and American Association of Clinical Endocrinologists Taskforce on Hyperthyroidism and Other Causes of Thyrotoxicosis, Bahn, R. S., Burch, H. B., Cooper, D. S., Garber, J. R., Greenlee, M. C., Klein, I., Laurberg, P., McDougall, I. R., Montori, V. M., et al. (2011) · Thyroid · doi:10.1089/thy.2010.0417 · Cited by 898 · see citing works
- Authors
- Abbas, G., Dubner, S., & Heller, K. S.
- Affiliations
- Albert Einstein College of Medicine (US)
- Corresponding author
- Heller, Keith S.
- Venue
- Head & Neck
- Publisher
- Wiley
- Published
- 2001-06-04
- Volume
- 23
- Issue
- 7
- Pages
- 544-546
- ISSN
- 1043-3074 (ISSN-L)
- 1097-0347
- OpenAlex
- W2162374074
- Cited by
- 84
- References
- 9
- Citations by year
- 2026: 1 · 2024: 2 · 2023: 3 · 2022: 3 · 2020: 2 · 2019: 5 · 2018: 3 · 2017: 3 · 2016: 6 · 2015: 3 · 2014: 4 · 2013: 7 · 2012: 4
- FWCI
- 2.97
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Head & Neck (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Surgery › Thyroid and Parathyroid Surgery
- Health Sciences › Medicine › Hematology › Hemostasis and retained surgical items
- Health Sciences › Medicine › Surgery › Case Reports on Hematomas
- Keywords
- postoperative bleeding, reoperation, thyroidectomy, parathyroidectomy, postoperative hematoma, outpatient surgery, surgical safety, airway obstruction, emergency tracheostomy
- MeSH terms
- Hemorrhage, Humans, Middle Aged, Neck, Reoperation, Thyroidectomy, Time Factors, Parathyroidectomy
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