Open Access Open Access  Restricted Access Subscription Access

Haemostasis in Thyroid Surgery: Collagen-Fibrinogen-Thrombin Patch versus Cellulose Gauze-Our Experience


Affiliations
1 Department of Medical and Surgical Science, University of Foggia, Luigi Pinto Street 1, 71122 Foggia, Italy
 

Purpose: Postoperative hemorrhage is fortunately uncommon but potentially life-threatening complication of thyroid surgery that increases the postoperative morbidity and the hospital stay. In this study we compare the efficacy of collagen patch coated with human fibrinogen and human thrombin (CFTP) (group C) and oxidized regenerated cellulose gauze (group B) versus traditional hemostatic procedures (group A) in thyroid surgery. Methods: From January 2011 to December 2013, 226 were eligible for our prospective, nonrandomized, comparative study. Patients requiring a video-assisted thyroidectomy without drain, "near total," or hemithyroidectomy were excluded. Other exclusion criteria were a diagnosis of malignancy, substernal goiter, disorders of hemostasis or coagulation, and Graves or hyper functioning thyroid diseases. Outcomes included duration of operation, drainage volume, and postoperative complications. Results: Our results show a significant reduction in drainage volume in group C in comparison with the other two groups. In groupC there was no bleeding but the limited numbers do notmake this result significant. There were no differences in terms of other complications, except for the incidence of seroma in group B. Conclusion: The use of CFTP reduces the drainage volume, potentially the bleeding complications, and the hospital stay.These findings confirmthe efficacy of CFTP, encouraging its use in thyroid surgery.
User
Notifications
Font Size

Abstract Views: 93

PDF Views: 0




  • Haemostasis in Thyroid Surgery: Collagen-Fibrinogen-Thrombin Patch versus Cellulose Gauze-Our Experience

Abstract Views: 93  |  PDF Views: 0

Authors

Nicola Tartaglia
Department of Medical and Surgical Science, University of Foggia, Luigi Pinto Street 1, 71122 Foggia, Italy
Alessandra Di Lascia
Department of Medical and Surgical Science, University of Foggia, Luigi Pinto Street 1, 71122 Foggia, Italy
Vincenzo Lizzi
Department of Medical and Surgical Science, University of Foggia, Luigi Pinto Street 1, 71122 Foggia, Italy
Pasquale Cianci
Department of Medical and Surgical Science, University of Foggia, Luigi Pinto Street 1, 71122 Foggia, Italy
Alberto Fersini
Department of Medical and Surgical Science, University of Foggia, Luigi Pinto Street 1, 71122 Foggia, Italy
Antonio Ambrosi
Department of Medical and Surgical Science, University of Foggia, Luigi Pinto Street 1, 71122 Foggia, Italy
Vincenzo Neri
Department of Medical and Surgical Science, University of Foggia, Luigi Pinto Street 1, 71122 Foggia, Italy

Abstract


Purpose: Postoperative hemorrhage is fortunately uncommon but potentially life-threatening complication of thyroid surgery that increases the postoperative morbidity and the hospital stay. In this study we compare the efficacy of collagen patch coated with human fibrinogen and human thrombin (CFTP) (group C) and oxidized regenerated cellulose gauze (group B) versus traditional hemostatic procedures (group A) in thyroid surgery. Methods: From January 2011 to December 2013, 226 were eligible for our prospective, nonrandomized, comparative study. Patients requiring a video-assisted thyroidectomy without drain, "near total," or hemithyroidectomy were excluded. Other exclusion criteria were a diagnosis of malignancy, substernal goiter, disorders of hemostasis or coagulation, and Graves or hyper functioning thyroid diseases. Outcomes included duration of operation, drainage volume, and postoperative complications. Results: Our results show a significant reduction in drainage volume in group C in comparison with the other two groups. In groupC there was no bleeding but the limited numbers do notmake this result significant. There were no differences in terms of other complications, except for the incidence of seroma in group B. Conclusion: The use of CFTP reduces the drainage volume, potentially the bleeding complications, and the hospital stay.These findings confirmthe efficacy of CFTP, encouraging its use in thyroid surgery.