Thyroid surgery: postoperative hematoma - prevention and treatment
Thyroid surgery: postoperative hematoma - prevention and treatment
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DOI：
10.1007/s00423-006-0028-6
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发表时间：
2006-06-01
影响因子：
2.3
通讯作者：
Henry, Jean-Francois
中科院分区：
文献类型：
--
作者：
Harding, Jane;Sebag, Frederic;Henry, Jean-Francois
背景和目的：甲状腺手术后血肿形成是一种罕见但可能危及生命的并发症。本文旨在找出潜在的病因，描述可用于将血肿形成的风险降至最低的手术技术和新的止血药物，并提出处理血肿的手术策略。材料和方法：广泛的文献检索以及在三级转诊中心内分泌外科的丰富经验来回顾这一主题。结论：术后血肿的病因可能是多因素的。可采用多种手法和外科止血剂将血肿形成的风险降至最低，但不能替代细致的止血。在血肿形成的情况下，强烈提倡早期手术再干预，并对有危险的结构给予应有的照顾。
Background and aims: Postoperative haematoma formation is a fortunately rare but potentially life-threatening complication of thyroid surgery. This paper aims to identify potential aetiological factors, describe surgical techniques and newer haemostatic agents that may be used to minimise the risk of haematoma formation and propose surgical strategies to deal with haematoma formation.Materials and methods: An extensive literature search as well as own considerable experience in a tertiary referral centre endocrine surgical unit was drawn upon to review this topic.Conclusions: Postoperative haematoma may have a multifactorial aetiology. Numerous manoeuvres and surgical haemostatic agents may be employed to minimise the risk of haematoma formation but are no substitute for meticulous haemostasis. In the event of haematoma formation, early surgical re-intervention is strongly advocated with due care given to at risk structures.