ArticleFrontiers in surgery2023
Risk factors for postoperative cervical haematoma in patients undergoing thyroidectomy: a retrospective, multicenter, international analysis (REDHOT study).
Article in Frontiers in surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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14 citing papers in PubMed, 14 citations in OpenAlex.
- Learning curves of surgeon performance and team workflow during the first 100 hugo robotic-assisted small bowel length shortening with sleeve gastrectomy procedures.Journal of robotic surgery · 2026Article
- Predictors of Post-Thyroidectomy Cervical Hematoma: Does Operative Start Time Matter? A Retrospective Single-Center Study.Medicina (Kaunas, Lithuania) · 2026Article
- Clinical Benefits of the Introduction of the ERAS Protocol in Thyroid Surgery: A Propensity Score Matching Analysis.Journal of clinical medicine · 2026Article
- Aligning perspectives: towards a standardized concept of "complexity" in thyroid surgery. An international web-based survey.Updates in surgery · 2026Article
- Prognostic Value of the Systemic Immuno-Inflammation Index (SII) in the Formation of Seroma and Hematoma Following Thyroidectomy.International archives of otorhinolaryngology · 2026Article
- Application of the Hugo™ RAS robotic system in general surgery: a scoping review.Journal of robotic surgery · 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
- The impact of pectoralis major fascia preservation on postoperative quality of life and shoulder function in endoscopic thyroidectomy via axillary approach.Frontiers in endocrinology · 2025Article
- Risk Factors for Cervical Hematoma After Thyroid Surgery at a Portuguese Hospital: A Retrospective Study.Cureus · 2024Article
- Redo Thyroidectomy: Updated Insights.Journal of clinical medicine · 2024Review
- Comparison between DaVinciJournal of robotic surgery · 2024Article
- Delayed infected hematoma in retrosternal area following total thyroidectomy: a case report.Annals of medicine and surgery (2012) · 2024Article
- Differences in surgical outcomes between cervical goiter and retrosternal goiter: an international, multicentric evaluation.Frontiers in surgery · 2024Article
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Authors and funding
24 authors at 10 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Postoperative cervical haematoma represents an infrequent but potentially life-threatening complication of thyroidectomy. Since this complication is uncommon, the assessment of risk factors associated with its development is challenging. The main aim of this study was to identify the risk factors for its occurrence. Methods: Patients undergoing thyroidectomy in seven high-volume thyroid surgery centers in Europe, between January 2020 and December 2022, were retrospectively analysed. Based on the onset of cervical haematoma, two groups were identified: Cervical Haematoma (CH) Group and No Cervical Haematoma (NoCH) Group. Univariate analysis was performed to compare these two groups. Moreover, employing multivariate analysis, all potential independent risk factors for the development of this complication were assessed. Results: Eight thousand eight hundred and thirty-nine patients were enrolled: 8,561 were included in NoCH Group and 278 in CH Group. Surgical revision of haemostasis was performed in 70 (25.18%) patients. The overall incidence of postoperative cervical haematoma was 3.15% (0.79% for cervical haematomas requiring surgical revision of haemostasis, and 2.35% for those managed conservatively). The timing of onset of cervical haematomas requiring surgical revision of haemostasis was within six hours after the end of the operation in 52 (74.28%) patients. Readmission was necessary in 3 (1.08%) cases. At multivariate analysis, male sex ( Conclusions: Based on our findings, we believe that patients with the identified risk factors should be closely monitored in the postoperative period, particularly during the first six hours after the operation, and excluded from outpatient surgery.
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