Clinical Study on the Etiology of Postthyroidectomy Skin Sinus FormationReport as inadecuate




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Surgery Research and Practice - Volume 2017 2017, Article ID 5283792, 7 pages - https:-doi.org-10.1155-2017-5283792

Research ArticleDepartment of General Surgery, Affiliated Hospital of Inner Mongolia Medical University, Tongdao North Rd 1, Hohhot 010050, Inner Mongolia Autonomous Region, China

Correspondence should be addressed to Shan Jin

Received 20 October 2016; Revised 4 February 2017; Accepted 13 February 2017; Published 12 March 2017

Academic Editor: Hiroo Uchida

Copyright © 2017 Shan Jin et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Background. Thyroidectomy is one of the most frequently performed surgical procedures worldwide. Despite technical advances and high experience of thyroidectomy of specialized centers, it is still burdened by a significant rate of postoperative complications. Among them, the skin sinus formation is an extremely rare postthyroidectomy complication. Here, we first report the incidence of the skin sinus formation after thyroidectomy to identify the causes for skin sinus formation after thyroidectomy and to discuss its prevention and treatment options. Methods. A retrospective analysis was carried out of patients who underwent excision operation of fistula for postthyroidectomy skin sinus formation. Data were retrieved from medical records department of the Affiliated Hospital of Inner Mongolia Medical University. Results. Of the 5,686 patients who underwent thyroid surgery, only 5 patients 0.088% had developed skin sinus formation. All 5 patients successfully underwent complete excision of fistula. Conclusion. Infection, foreign body, thyroid surgery procedure, combined disease, and iatrogenic factors may be related with skin sinus formation after thyroidectomy. To reduce the recurrence of postoperative infections and sinus formation, intra- and postoperative compliance with aseptic processing, intraoperative use absorbable surgical suture-ligature, repeated irrigation and drainage, and postoperative administration of anti-inflammatory treatment are to be followed.





Author: Shan Jin, Wuyuntu Bao, Oyungerel Borkhuu, and Yun-Tian Yang

Source: https://www.hindawi.com/



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