Early postoperative management following total thyroidectomy: Audit cycle

O. Wakelam, A. Michael, G. Mochloulis
2015 International Journal of Surgery  
Aim: 23 hr stay surgery for primary hemithyroidectomy has been shown to be safe practice. We present our experience of 23 hr stay hemithyroidectomy and see if this can be extrapolated to completion and total thyroidectomies. Methods: All thyroid surgery between 01/07/2013 and 01/08/2014 was identified and electronic records searched for key variables including pathology and post operative blood results. Results: Discharge rates for 23 hr/24 hr/by 1700 post operative day 1 are as follows:
more » ... as follows: hemithyroidectomies -20%/46%/94% with no readmissions within 60 days, completion e 0%/6.7%/33.3% with no readmissions, total thyroidectomies e 2.4%/2.4%/14.3% with one readmission due to acute kidney injury (2.4%). Conclusion: 23-hour stay is safe and our department standard. Timings of electronic discharge may introduce errors into length-of-stay data eg generic 0000 admission/ discharge times. We saw no complications requiring readmission/hospital assessment in hemi or completion groups and 2.4% readmissions in the total thyroidectomy group within 60 days. One (2.4%) total thyroidectomy patient had post-operative calcium levels of 2 mnmol/L. No airway-related complications were seen in any group. From our data and supported in the literature, sub-23 hr total thyroidectomy surgery is possible and safe but severe and time critical consequences of complications can present a mental barrier to adoption of this practice. 0674: EARLY POSTOPERATIVE MANAGEMENT FOLLOWING TOTAL THYROIDECTOMY: AUDIT CYCLE
doi:10.1016/j.ijsu.2015.07.221 fatcat:hgq42igczndulgrd6pwzjnybv4