Postoperative hematomas after thyroid surgery. Incidence and risk factors in our experience.

Aim: The aim of our study was to evaluate the incidence and timing of postoperative bleeding and to identify the potential aetiological factors of cervical hematomas complicating thyroid surgery.

Material: Between September 2002 and December 2009, 2559 patients were operated on in Department of Surgery, University Hospital of Cagliari. 2257 total thyroidectomies, 191 total thyroidectomies associated to lymphadenectomy, 83 total thyroidectomies associated to parathyroidectomy, 24 thyroid lobectomies and 4 lobectomies associated to parathyroidectomy were performed.

[Emergencies in thyroid surgery. Our experience].

The rate of complications after thyroid surgery is about 5% and among these real emergencies account for less than 1%, consisting in intraoperative and postoperative bleeding, bilateral recurrent palsy, severe hypoparathyroidism and, rarely, laryngeal oedema and tracheomalacia. Between 2000 and 2004 849 patients were submitted to total thyroidectomy for various thyroid pathologies in our institution. Complications observed were postoperative bleeding in 13 patients (1.

[Substernal goiter: personal experience].

Aim Of The Study: The Authors report on their experience in the surgical treatment of substernal goiter.

Material And Methods: Between 1972 and 2004, 222 patients with substernal goiters were observed among 2720 patients undergoing surgical treatment for various thyroid diseases (8.16%).

[Umbilical endometriosis. A case report].

The Authors present a case of umbilical endometriosis. A 38-year-old female presented with a nodule in her umbilical region. The nodule was brownish in colour and had enlarged slowly, reaching a size of 2 cm in diameter over the previous 7 months.