Wound Drains Following Thyroid And Parathyroid Surgery Systematic Review

Objective: Through to evaluated thyroid and parathyroid postoperative woundcomplications, respiratory complications, hospital stay and mortality in patients on thestudy, to further clarify the clinical effect of drainage in thyroid and parathyroid surgery.Methods: We have retrieved one by one the following databases: CochraneCENTRAL-Cochrane Library, MEDLINE (Pubmed), EMbase, Tompson SCI, EBSCO,CNKI. The deadline of search time was to March29,2011. Strict accordance with theinclusion criteria for literature selection for the study included researchers from the threedata collation, for a discussion of differences in the decision to organize the program,GRADE3.5.1software for quality evaluation and RevMan5.1.2software for data analysis.Results: A total of18studies included a total of2167participants, all selecteddocuments are used RevMan5.1.2software quality evaluation, and showed no high-levelliterature. No reported cases of death and respiratory distress syndrome in all theincluded studies. One of the16studies of drainage and no drainage groups werecompared, found in the reoperation, wound hematoma/seroma, wound infection, theincidence of seroma was no significant difference. Placed drainage group incision painscore compared with non-placement was significantly [RR=2.15,95%CI (1.10-4.23),P=0.01], length of stay was significantly prolonged in drainage group [SMD=0.79,95%CI (0.38-1.20), I2=93%, P=0.0002].10studies on the suction drainage group and thenon-drainage group, reoperation, wound hematoma/sarcoma, wound infection incomparison found no significant differences, and the length of stay was significantlyprolonged in drainage group [SMD=1.04,95%CI(0.45-1.64), I2=95%, P=0.0006]. Fortwo different drainage devices were compared, wound hematoma/seroma, infection,hospital stay was not statistically significant. Conclusion: The evidence is based on nosubsternal goiter surgery, normal coagulation indices and neck lymph node dissection isnot derived on the basis, the results of this study do not apply to the situation; canconfirm there is no clear evidence of thyroid and parathyroid surgery with drainage can significantly reduce the incidence of postoperative complications, and may be associatedwith increased postoperative drainage placed on length of stay; different materials in thedrainage system in the evaluation of the indicators were not statistically different; thisstudy included all RCTs quality level is not high literature, and the lack of multi-center, alarge sample of RCTs, experts recommended further study of this issue in depth.