J Surg Tech Proced | Volume 4, Issue 1 | Research Article | Open Access
Abothenain F*, Bamajboor A, Alnefaie S, Alhefdhi A and Alsobhi S
Department of Surgery, King Faisal Specialist Hospital and Research Center, Saudi Arabia
*Correspondance to: Abothenain F
Fulltext PDFAbstract 1
Objective: To identify a proper technique for the management of seroma formation following thyroidectomy.
Setting: Tertiary Care Hospital in the Middle Eastern region.
Participant: A 47 year old Saudi female with seroma formation following thyroidectomy.
Interventions: In this case the conventional method of managing seroma post thyroidectomy with drain placement was not effective. The drain output was markedly high for few days. So, this was managed through clamping the drain, thus creating a closed system, which generated pressure on the tissue around the seroma, thus shifted the fluid intracellular from the extracellular space.
Results: The swelling improved dramatically and the drain was removed.
Conclusion: We may consider our way of management in case of conventional treatment failure.
We think that this management technique is better to be applied for more similar cases to confirm
its efficacy and safety.
Abstract 2
Introduction: The definition of seroma has not been consistent in the literature; however, most widely it is defined as a collection of clear fluid composed of exudates that is surrounded by a fibrous capsule. Seroma mostly formed in the setting of recent surgery or trauma. It has been frequently associated with mastectomy, laparoscopic inguinal hernia repair, axillary lymphadenectomy and
abdominoplasty. However, it is uncommonly reported post thyroidectomy. The most effective way of managing seroma in the literature is serial percutaneous aspiration.
Case study: Here we present an unusual case of seroma formation following thyroidectomy that was managed successfully. In our case, the conventional method of managing seroma post thyroidectomy with drain placement was not effective. The drain output was markedly high for few days. So, this was managed through clamping the drain, thus creating a closed system, which generated pressure on the tissue around the seroma, thus shifted the fluid intracellular from the extracellular space. This
was applied for a hospitalized patient who was monitored closely.
Conclusion: We may consider our way of management in case of conventional treatment failure. We think that this management technique is better to be applied for more similar cases to confirm its efficacy and safety.
Seroma; Total thyroidectomy; VTE
Abothenain F, Bamajboor A, Alnefaie S, Alhefdhi A, Alsobhi S. Seroma as an Unusual Complication Post Total Thyroidectomy Managed with a Special Technique: Case Report. J Surg Tech Proced. 2020;4(1):1029..