Ambulatory Thyroid Surgery: Is This the Way of the Future?
Outpatient thyroidectomy has been demonstrated in recent years as safe and feasible by a number of endocrine surgery centers. However, despite the inherent benefits of doing surgery with the same day discharge, the acceptance of thyroidectomy as an outpatient procedure has been slow and regarded by some as still controversial.
This manuscript addresses the logistics as well as the pros and cons of doing thyroidectomy with the same day discharge from the reported experience in the literature in the past decade and the perspective of the author’s approximate 20-year experience with outpatient thyroidectomy. Special emphasis is given to the diagnosis, prevention, and management of post-thyroidectomy cervical hematoma in the outpatient setting.
Outpatient thyroidectomy is feasible and safe for the majority of thyroid operations while providing similar health-care cost savings to society as other outpatient operations. It seems reasonable to anticipate increasing utilization of outpatient thyroidectomy by experienced thyroid surgeons in the future. Ultimately, the majority of thyroidectomy procedures will be accomplished in the outpatient setting to the benefit of the patient, hospital, surgeon, insurance company, and society.
KeywordsOutpatient thyroidectomy Thyroidectomy same day discharge Post-thyroidectomy cervical hematoma Diagnosis of post-thyroidectomy cervical hematoma Prevention of post-thyroidectomy cervical hematoma Management of post-thyroidectomy cervical hematoma Thyroidectomy hemostasis
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