6533b854fe1ef96bd12af515

RESEARCH PRODUCT

23-hour observation endocrine neck surgery: lessons learned from a case series of over 1700 patients

G AugelloA DafnomiliRoberta TutinoGaspare GulottaCalogero PorrelloT FontanaN FalcoG RotoloA RandazzoC Raspanti

subject

Parathyroidectomymedicine.medical_specialtyTime Factorsmedicine.medical_treatment030230 surgeryENDOCRINE SURGERY03 medical and health sciencesPostoperative Complications0302 clinical medicineHematomaTHYROIDHumansMedicineEndocrine systemMonitoring PhysiologicParathyroidectomyPostoperative Carebusiness.industryThyroidThyroidectomyLength of StaySurgical proceduresmedicine.diseaseShort stay surgerySurgeryEndocrine surgeryTreatment Outcomemedicine.anatomical_structure030220 oncology & carcinogenesisThyroidectomyOriginal Articlebusiness

description

Although the surgical procedures concerning the thyroid and the parathyroid glands are considered safe, the possible occurrence of complications (mainly hematoma and hypocalcemia) limit the short stay surgery. At our institution a 23-hour-surgery with overnight hospital stay for endocrine neck surgical procedures was introduced since 2004. The present case series analyses the institutional results. Over 1913 endocrine neck surgery procedures, 1730 patients (90,2%) were managed according to this model. Among these patients, 92 suffered from hypocalcemia, 12 from airways obstruction due to the hematoma, 5 from bilateral nerve palsy. 15 more patients had unpredictable general disease compromising the short-stay surgery management. The goal of the discharge after 23 hours was achieved in 92,8% of cases with a mean hospital stay of 1,1days. The 23-hour observation with an overnight surgery is feasible and safe if the correct indications are observed. A considerable volume of specific activity is needed.

yearjournalcountryeditionlanguage
2017-05-02
http://hdl.handle.net/10447/303552