Efficacy of Drainless Total Thyroidectomy in Intrathyroidal Lesions of Thyroid

Drainshavebeenplacedperioperativelyduring thyroidsurgery with the notion that doing so would prevents complications like hematoma and seroma formation postoperatively, but the literature lacks any candid data to support this concept. The incidence rates of hematomas requiring surgical intervention are low, reportedly 0–1.5%.1,2 A number of trials have been published to evaluate the need for placing drains in thyroid surgery, and ameta-analysis of 25 randomized trials involving 2,939 patients found no difference in seroma formation between the groups who underwent the procedures with and withoutadrain;however, thedegreeofheterogeneitywashigh (MD 1⁄4 2.30 [–0.73 to 5.34] mL; I2 1⁄4 93%).3 The studies