Document Detail


Ambulatory thyroid surgery: an audit of safety and outcomes.
MedLine Citation:
PMID:  17657377     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
INTRODUCTION: Elective hemithyroidectomy is a common operation with a low complication rate. The aim of this study was to conduct an audit on the safety and efficacy of ambulatory hemithyroidectomy in carefully-selected patients. METHODS: This is a cohort study of 114 patients who were scheduled to have either ambulatory (50 patients) or inpatient (64 patients) hemithyroidectomy over a two-year period. Selection for day case surgery was based on pre-established criteria and patient preference. Preoperative patient characteristics, indications for surgery, operative characteristics, histological diagnoses and surgical complications are compared. RESULTS: Of the 50 patients selected for day case surgery, 45 (90 percent) were discharged on the day of surgery. The complication rates of the two groups were similar. Two patients required admission for wound complications and the other three were admitted for non-medical reasons. CONCLUSION: The overall complication rate was low. There were no differences in the rate of complications between ambulatory and inpatient hemithyroidectomies. Ambulatory hemithyroidectomy can be performed safely for a select group of patients in the setting of appropriate facility and management protocol.
Authors:
C W D Chin; K S Loh; K S L Tan
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Singapore medical journal     Volume:  48     ISSN:  0037-5675     ISO Abbreviation:  Singapore Med J     Publication Date:  2007 Aug 
Date Detail:
Created Date:  2007-07-27     Completed Date:  2007-09-28     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0404516     Medline TA:  Singapore Med J     Country:  Singapore    
Other Details:
Languages:  eng     Pagination:  720-4     Citation Subset:  IM    
Affiliation:
Department of Otolaryngology - Head and Neck Surgery, National University Hospital, 5 Lower Kent Ridge Road, Singapore 119074.
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MeSH Terms
Descriptor/Qualifier:
Adult
Ambulatory Surgical Procedures*
Cohort Studies
Female
Humans
Male
Medical Audit
Middle Aged
Outcome Assessment (Health Care)*
Singapore
Thyroidectomy / adverse effects,  methods*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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