| Title: |
Clinical Usefulness of the Valsalva Manoeuvre to Improve Hemostasis during Thyroidectomy |
| Authors: |
Mario Pacilli; Giovanna Pavone; Alberto Gerundo; Alberto Fersini; Antonio Ambrosi; Nicola Tartaglia |
| Source: |
Journal of Clinical Medicine, Vol 11, Iss 5791, p 5791 (2022) |
| Publisher Information: |
MDPI AG |
| Publication Year: |
2022 |
| Collection: |
Directory of Open Access Journals: DOAJ Articles |
| Subject Terms: |
Valsalva manoeuvre; hemostasis; surgical drains; thyroidectomy; bleeding; Medicine |
| Description: |
Bleeding after total thyroidectomy remains a rare event that affects early postoperative morbidity, occurring in 0.3% to 4.2% of cases. Intraoperative bleeding is an unpleasant complication, and it is often easily manageable, although postoperative bleeding may represent a life-threatening condition for the patient. The purpose of our study was to clarify the role of the Valsalva manoeuvre to reduce postoperative bleeding. Between January 2019 to February 2022, 250 consecutive patients were listed for thyroid surgery at our surgical department. The study cohort consisted of 178 patients, divided into two groups based on the execution of the Valsalva manoeuvre. There was no difference in the duration of surgery between groups. Group B had fewer reinterventions for bleeding. Group A had a significantly greater volume of drainage output than Group B. Cervical haematoma can compromise a patient’s life, so bleeding control is crucial. Our results show that using a simple and safe Valsalva manoeuvre can improve the postoperative course with a significant reduction in drainage output, but does not prevent the risk of reoperation for hemorrhage. |
| Document Type: |
article in journal/newspaper |
| Language: |
English |
| Relation: |
https://www.mdpi.com/2077-0383/11/19/5791; https://doaj.org/toc/2077-0383; https://doaj.org/article/cd4ee8cff4e54f00afa4d15355d4ccee |
| DOI: |
10.3390/jcm11195791 |
| Availability: |
https://doi.org/10.3390/jcm11195791; https://doaj.org/article/cd4ee8cff4e54f00afa4d15355d4ccee |
| Accession Number: |
edsbas.8C487CEB |
| Database: |
BASE |