Ultrasound dialectic after thyroid surgery

Introduction. A rational system for the use of diapeutic measures in the early stages after thyroid surgery has not yet been developed.

The purpose of the study. To substantiate the necessity and effectiveness of diapeutic interventions in the early period after thyroid surgery.

Materials and method. We carried out a retrospective analysis and a prospective study of the results of surgical treatment of 172 patients operated on for thyroid disease. Ultrasound of the area of surgical intervention on the 2nd - 4th day after the operation was performed in 99 patients in order to identify possible complications. The comparison group consisted of 73 patients who did not undergo ultrasound of the operation area during the hospital period.

Results. Ultrasound examination revealed complications in the surgical wound in 14 (14,1 %) of 99 patients, including two cases of a violation of the mobility of the vocal fold on the side of the fluid accumulation in the bed of the removed thyroid lobe. Among 73 patients of the comparison group, complications diagnosed in 3 patients in the post-hospital period in the stage of suppuration required repeated hospitalizations and more traumatic medical manipulations.

Conclusion. Routine use of ultrasound in the early postoperative period after thyroid surgery makes it possible to identify complications and perform their correction using a minimally invasive puncture technique properly. Ultrasound-guided interventions should be performed by a diapeutist – a surgeon who has undergone special training in ultrasound diagnostics.

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