Postoperative hemorrhages in thyroidal surgery

Keywords: postoperative hemorrhage; thyroidectomy; hemithyroidectomy; thyroid gland; revision of postoperative wound

Abstract

Objective. Analysis of the risk factors and causes of the hemorrhage occurrence during performance of operations on thyroid glands (THG) and elaboration of methods of surgical hemostasis.

Маterials and methods. A detailed analysis was conducted, concerning 89 patients, оperated for the THG pathology, in whom postoperative hemorrhage have occurred.

Results. Total rate of the hemorrhage occurrence have constituted 0.49%: in women - 0.35%, and in men - 1.21%. Average age of the patients was (42.3 ± 0.2) yrs. The hemorrhage occurrence rate have depended on volume of operative intervention. After performance of thyroidectomy the hemorrhage occurrence rate is enhanced - 50.56%, or in 1,6 times, comparing with the organ-preserving operations - 30.33%.

Conclusion. Application of modern technologies of hemostasis, medicinal correction of the fibrinolysis disorders makes possible to minimize the development risk for postoperative complications and to shorten the patients’ treatment duration.

Author Biographies

Yu. M. Tarashchenko, Komissarenko Іnstitute of Endocrinology and Metabolism, Kyiv

Yuriy M. Tarashchenko, FD,

Department of Surgery Endocrin Glands

V.P.Komisarenko Institute of Endocrinology and Metabolism

Address: Vyshgorodska Str., 69, 04114 Kyiv, Ukraine, tel.: +38 (044) 254-12-66

E-mail: yutar0380@gmail.com

https://orcid.org/0000-0003-4787-359X

A. E. Kovalenko, Komissarenko Іnstitute of Endocrinology and Metabolism, Kyiv

Andrey Ye. Kovalenko, MD, professor

Department of Surgery Endocrin Glands

V.P. Komisarenko Institute of Endocrinology and Metabolism

Address: Vyshgorodska Str., 69, 04114 Kyiv, Ukraine, tel.: +38 (044) 254-12-88

E-mail: ae@kovalenko.co.ua

http://orcid.org/0000-0003-0326-6421

M. Yu. Bolgov, Komissarenko Іnstitute of Endocrinology and Metabolism, Kyiv

Mikhail Yu. Bolgov MD,

Department of Surgery Endocrin Glands

V.P. Komisarenko Institute of Endocrinology and Metabolism

Address: Vyshgorodska Str., 69, 04114 Kyiv, Ukraine, tel.: +38 (044) 254-13-86

E-mail: mikebolgov@gmail.com

http://orcid.org/0000-0002-9011-9982

B. B. Guda, Komissarenko Іnstitute of Endocrinology and Metabolism, Kyiv

Bogdan B. Guda FD,

Department of Surgery Endocrin Glands

V.P. Komisarenko Institute of Endocrinology and Metabolism

Address: Vyshgorodska Str., 69, 04114 Kyiv, Ukraine, tel.: +38 (044) 254-14-26

E-mail: bguda@ukr.net

https://orcid.org/0000-0002- 9181-0679

M. V. Ostafiychuk, Komissarenko Іnstitute of Endocrinology and Metabolism, Kyiv

Marian V. Ostafiychuk,

Department of Surgery Endocrin Glands

V.P. Komisarenko Institute of Endocrinology and Metabolism

Address: Vyshgorodska Str., 69, 04114 Kyiv, Ukraine, tel.: +38 (044) 254-12-66

E-mail: skorpionmaryan@gmail.com 

https://orcid.org/0000-0002-0446-051X

O. G. Kolluh, Komissarenko Іnstitute of Endocrinology and Metabolism, Kyiv

Oleg G. Kolluh,

Department of Surgery Endocrin Glands

V.P. Komisarenko Institute of Endocrinology and Metabolism

Address: Vyshgorodska Str., 69, 04114 Kyiv, Ukraine, tel.: +38 (044) 254-12-66

E-mail: oleg.kolluh@gmail.com 

https://orcid.org/0000-0001-9097-2492

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Published
2018-09-30
How to Cite
Tarashchenko, Y. M., Kovalenko, A. E., Bolgov, M. Y., Guda, B. B., Ostafiychuk, M. V., & Kolluh, O. G. (2018). Postoperative hemorrhages in thyroidal surgery. Klinicheskaia Khirurgiia, 85(9), 39-41. https://doi.org/10.26779/2522-1396.2018.09.39
Section
General Problems of Surgery