Valsalva Maneuver in Thyroidectomy

University of Foggia178 enrolled

Overview

Bleeding after total thyroidectomy remains a rare event that affects early postoperative morbidity, occurring in 0.3% up to 4.2% of cases. Intraoperative bleeding is an unpleasant complication, and it is often easily manageable though postoperative bleeding may represent a life-threatening condition for the patient. Between January 2019 to February 2022 , 250 consecutive patients were listed for thyroidectomy. The Investigators selected 178 patients and divided them in two groups based on the execution of the Valsalva Manoeuvre. The purpose of the investigator is to clarify whether the routine intraoperative execution of a Valsalva manoeuvre (VM) may affect the detection of bleeding that would otherwise remain occult and therefore may manifest in the postoperative period.

Study Type

OBSERVATIONAL

Enrollment

178

Conditions

The Role of Valsalva Manoeuvre, in Thyroidectomy to Reduce Postoperative Bleeding

Interventions

Valsalva maneuverPROCEDURE

Valsalva maneuver: increase intrabdominal pressure

Eligibility

Sex: ALLMin age: 18 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * thyroid diseases Exclusion Criteria: * lymph node dissection * minimally invasive approaches * high anesthesiological risk

Locations (1)

Policlinico Di Foggia

Foggia, Italy

Outcomes

Primary Outcomes

Volume of cervical drainage after total thyroidectomy

Bleeding after thyroidectomy is evaluated based on the total volume of cervical drainage output (ml)

Time frame: 24 hours

Number of reinterventions

Reoperations to resolve post thyroidectomy bleeding, which can cause airway compression and choking signs and symptoms.

Time frame: 24 hours

Data from ClinicalTrials.gov

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