ArticleWorld journal of surgery2012
A review of risk factors and timing for postoperative hematoma after thyroidectomy: is outpatient thyroidectomy really safe?
Article in World journal of surgery, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 56 papers, 3 of them syntheses that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
56 citing papers in PubMed, 3 syntheses or guidelines pooled it, 142 citations in OpenAlex.
- The impact of drains on surgical outcomes in thyroid surgery-a meta-analysis of randomised controlled trials.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2026Pooled it
- Risk of hematoma after hemithyroidectomy in an outpatient setting: a systematic review and meta-analysis.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2022Pooled it
- Risk factors for neck hematoma requiring surgical re-intervention after thyroidectomy: a systematic review and meta-analysis.BMC surgery · 2019Pooled it
- The effects of different degrees of head-of-bed elevation on the respiratory pattern and drainage following thyroidectomy: a randomized controlled trial.African health sciences · 2020Trial
- Effects of intravenous infusion of lidocaine and dexmedetomidine on inhibiting cough during the tracheal extubation period after thyroid surgery.BMC anesthesiology · 2019Trial
- Superficial cervical plexus blockade improves pain control after thyroidectomy: A randomized controlled trial.Clinics (Sao Paulo, Brazil) · 2019Trial
- Can't Intubate, Can't Oxygenate Airway Failure Due to Post-thyroidectomy Cervical Hematoma: A Case Report.Cureus · 2026Article
- Risk Factors for Postoperative Hemorrhage Following Thyroid Surgery: Results of a Case-Control Study and Development of a Stratified Risk Model Using Random Forest Analysis.Journal of clinical medicine · 2026Article
- A Potential Role of Intraoperative Lidocaine in Patients Undergoing Thyroidectomy-An Original Systematic Review and Meta-Analysis.Health science reports · 2025Article
- Readmission and Cost of Parathyroidectomy By Admission Status in Secondary Hyperparathyroidism.Clinical journal of the American Society of Nephrology : CJASN · 2025Article
- Factors Increasing the Likelihood of Postoperative Hematomas Following Thyroid Surgery.Head & neck · 2025Article
- Risk of Neck Hematoma Following Thyroidectomy in Patients Taking Direct Oral Anticoagulants: A Propensity Score Matching Analysis from Nine High-Volume European Centers (RAGNO Study).Journal of clinical medicine · 2025Article
- Unexpected late-onset bleeding following thyroid surgery: case report and review of the literature.Frontiers in surgery · 2025Article
- Delayed cervical emphysema after thyroidectomy: a case report and a literature overview.Journal of surgical case reports · 2024Article
- Delayed infected hematoma in retrosternal area following total thyroidectomy: a case report.Annals of medicine and surgery (2012) · 2024Article
- Review
- Short-Term Complications After Total Thyroidectomy in Children.The Journal of surgical research · 2023Article
- Risk factors for postoperative cervical haematoma in patients undergoing thyroidectomy: a retrospective, multicenter, international analysis (REDHOT study).Frontiers in surgery · 2023Article
- Case Control Study of Risk Factors for Occurrence of Postoperative Hematoma After Thyroid Surgery: Ten Year Analysis of 6938 Operations in a Tertiary Center in Serbia.World journal of surgery · 2022Article
- Clinical Usefulness of the Valsalva Manoeuvre to Improve Hemostasis during Thyroidectomy.Journal of clinical medicine · 2022Article
Corrections and comments
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Authors and funding
3 authors at 1 institution in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAlthough postoperative hematoma after thyroidectomy is uncommon, patients traditionally have been advised to stay overnight in the hospital for monitoring. With the growing demand for outpatient thyroidectomy, we assessed its safety and feasibility by evaluating the potential risk factors and timing of postoperative hematoma after thyroidectomy.
methodsFrom 1995-2011, 3,086 consecutive patients underwent thyroidectomy at our institution; of these, 22 (0.7 %) developed a postoperative hematoma that required surgical reexploration (group I). Potential risk factors were compared between group I and those without hematoma (n = 3,045) or with hematoma but not requiring reexploration (n = 19; group II). Variables that were significant in the univariate analysis were entered into multivariate analysis by binary logistic regression analysis.
resultsGroup I was significantly more likely to have undergone previous thyroid operation than group II (27.3 vs. 8.2 %, p = 0.007). The median weight of excised thyroid gland (71.8 vs. 40 g, p = 0.018) and the median size of the dominant nodule (4.1 vs. 3 cm, p = 0.004) were significantly greater in group I than group II. Previous thyroid operation (odds ratio (OR) = 4.084; 95 % confidence interval (CI), 1.105-15.098; p = 0.035) and size of dominant nodule (OR = 1.315; 95 % CI, 1.024-1.687; p = 0.032) were independent factors for hematoma. Sixteen (72.7 %) had hematoma within 6 h, whereas the other 6 (27.3 %) had hematoma at 6-24 h.
conclusionsPrevious thyroid operation and large dominant nodule were independent risk factors for hematoma requiring surgical reexploration. Given that a quarter of hematoma occurred between 6 to 24 h after surgery, routine outpatient thyroidectomy could not be recommended.
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