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Subject Area

Endemic and Tropical Medicine

Article Type

Original Study

Abstract

Objectives To evaluate the flapless thyroidectomy technique in reducing postoperative seroma. Background The incidence of seroma after thyroidectomy has been reported to be between 1.3 and 7%. The history of thyroid surgery reflects evolution of surgery itself, but shifting the focus toward less invasive techniques has resulted in the emergence of minimally invasive approaches for the thyroid compartment. Flapless technique for thyroid surgery may reduce the incidence of postoperative seroma. Patients and methods This study was conducted at the General Surgery Department, Menoufia University and El Sheikh Zayed Specialized Hospital, and it had included 30 patients with goiter. This study is a prospective observational study focused on detecting if this technique has an advantage in reducing postthyroidectomy seroma. Flapless thyroidectomy techniques for the treatment of goiter made up the study population. Results There was significant difference between cases with seroma and without seroma regarding gland weight (g) and gland volume (cm3). There was no significant difference between cases with seroma and without seroma regarding age (years). Only one patient developed seroma with the use of a minimally invasive flapless technique. Conclusion Operative duration is the only independent factor significantly related to clinically detected postoperative seroma with its subsequent postoperative pain. Especially in elderly patients, a flapless technique would be recommended as these patients developed larger volumes of SC collections with subsequent higher pain scores, even if seroma was not clinically detected. Minimally invasive flapless technique is a safe and feasible alternative to conventional thyroidectomy in the management of benign thyroid disease, with shorter incision, less bleeding, reduced operative time, and better cosmetic results.

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