Risk factors for neck hematoma requiring surgical re-intervention after thyroidectomy: a systematic review and meta-analysis | ||
| The Egyptian Journal of Surgery | ||
| Volume 44, Issue 4, October 2025, Pages 1177-1183 PDF (458.18 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejsur.2025.363901.1408 | ||
| Authors | ||
| Wafy Fouad Salieb; Mohamed Abd El Fattah* ; George Magdy Khila | ||
| Department of Surgery, Faculty of Medicine, Ain Shams University, Cairo, Egypt. | ||
| Abstract | ||
| Background: Postoperative cervical haematoma (PCH), an uncommon but potentially fatal complication, is a danger associated with thyroidectomy, a routine surgical surgery. The incidence of PCH ranges between 0.43% and 6.54%. Thyroidectomy is now an outpatient operation because to technological improvements that have made it more accurate. Finding the risk factors for haematomas is essential for a safe outpatient thyroidectomy, enhancing patient care, and achieving better surgical results. Objective: Finding the risk factors for neck haematomas necessitates surgical re-intervention following thyroidectomy, and understanding the risk variables for PCH necessitating surgical re-intervention following thyroidectomy needs a methodical analysis of the data now available. Methods: The PRISMA-DTA guidelines were applied to this study, which examined literature from 2012 to 2024, covered who patients had risk factors for neck haematoma and required surgical re-intervention following thyroidectomy. This systematic review looks at information from eleven pieces of literature that satisfied the study's criteria in order to assess the risk factors for PCHs that need surgical re-intervention after thyroidectomy. Results: Malignancy consist the most common etiology for thyroidectomy (69.3%), goiter (45.5%), Hashimoto's thyroiditis (31.4%), hyperthyroidism (21.0%) and Grave’s disease (18.2%) in the studied literatures. The most common extent of thyroidectomy was the total without neck dissection technique (56.7%), partial thyroidectomy (29.9%), total with neck dissection (16.9%), substernal (7.53%), reoperation (6.58%) and parathyroidectomy (6.32%). The mean operation time was 107.4 minutes, the mean hospital stay was 4.25 days. Most hematoma occurs within the first 6 hours of surgery (61.57%), 37.32% occurs from 6 to 24 hours and 9.3% occurs after 24 hours. Conclusion: this meta-analysis underscores the multifactorial nature of PCH following thyroidectomy. Gender, age, hypertension, and malignancy identified as significant risk factors. To minimize PCH, postoperative monitoring should be performed in patients with multiple identifiable risk factors. | ||
| Keywords | ||
| Neck hematoma; surgical re-intervention after thyroidectomy; thyroidectomy | ||
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