Clinical Study on the Etiology of Postthyroidectomy Skin Sinus Formation.

Surgery Research and Practice Pub Date : 2017-01-01 Epub Date: 2017-03-12 DOI:10.1155/2017/5283792
Shan Jin, Wuyuntu Bao, Oyungerel Borkhuu, Yun-Tian Yang
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引用次数: 8

Abstract

Background. Thyroidectomy is one of the most frequently performed surgical procedures worldwide. Despite technical advances and high experience of thyroidectomy of specialized centers, it is still burdened by a significant rate of postoperative complications. Among them, the skin sinus formation is an extremely rare postthyroidectomy complication. Here, we first report the incidence of the skin sinus formation after thyroidectomy to identify the causes for skin sinus formation after thyroidectomy and to discuss its prevention and treatment options. Methods. A retrospective analysis was carried out of patients who underwent excision operation of fistula for postthyroidectomy skin sinus formation. Data were retrieved from medical records department of the Affiliated Hospital of Inner Mongolia Medical University. Results. Of the 5,686 patients who underwent thyroid surgery, only 5 patients (0.088%) had developed skin sinus formation. All 5 patients successfully underwent complete excision of fistula. Conclusion. Infection, foreign body, thyroid surgery procedure, combined disease, and iatrogenic factors may be related with skin sinus formation after thyroidectomy. To reduce the recurrence of postoperative infections and sinus formation, intra- and postoperative compliance with aseptic processing, intraoperative use absorbable surgical suture/ligature, repeated irrigation and drainage, and postoperative administration of anti-inflammatory treatment are to be followed.

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甲状腺切除术后皮肤窦形成病因的临床研究。
背景。甲状腺切除术是世界上最常用的外科手术之一。尽管专业中心的甲状腺切除术技术进步,经验丰富,但术后并发症的发生率仍然很高。其中,皮肤窦形成是甲状腺切除术后极为罕见的并发症。在此,我们首先报道甲状腺切除术后皮肤窦形成的发生率,以确定甲状腺切除术后皮肤窦形成的原因,并讨论其预防和治疗方案。方法。回顾性分析甲状腺术后皮肤窦形成行瘘管切除手术的患者。数据来源于内蒙古医科大学附属医院病案科。结果。在5686例接受甲状腺手术的患者中,仅有5例(0.088%)出现皮肤窦形成。5例患者均成功完成了瘘管的完全切除。结论。感染、异物、甲状腺手术过程、合并疾病和医源性因素可能与甲状腺切除术后皮肤窦形成有关。为减少术后感染的复发和鼻窦的形成,术中及术后应遵守无菌处理,术中使用可吸收的手术缝合/结扎,反复冲洗引流,术后给予抗炎治疗。
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来源期刊
自引率
0.00%
发文量
7
期刊介绍: Surgery Research and Practice is a peer-reviewed, Open Access journal that provides a forum for surgeons and the surgical research community. The journal publishes original research articles, review articles, and clinical studies focusing on clinical and laboratory research relevant to surgical practice and teaching, with an emphasis on findings directly affecting surgical management.
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