To compare the outcome of lobectomy and isthmusectomy with and without drain in case of solitary nodule in thyroid surgery

Background: thyroidectomy is a common surgical procedure. the results of some clinical trials suggest that routine drainage does not offer advantages,but the evidence is not strong either in favor of or against this intervention. several studies,however,have suggested that use of drains could increase the risk of infection,the length of hospital stay,treatment costs,and discomfort for the patient. aim: to compare the outcome of lobectomy and isthmusectomy with and without drain in case of solitary nodule in thyroid surgery. study design: randomized control trial settings: department of surgery,mayo hospital,lahore duration: 6 months methods: the data from 60 patients were collected from the patients admitted in east surgical ward through outpatient department with history,examination and investigation which were included according to inclusion criteria mentioned above. informed and written consent was taken from each patient. surgery was performed by consultant. patients were divided into two groups by lottery method. patient were observed postoperatively and followed up for mean pain score for 24 hours and mean hospital stay till discharged. results: mean age of patients in group-a and in group-b was 36.86±12.30 and 40.20±9.28 years. n group-a there were 6 male and 24 female while in group-b there were 9 male and 21 female patients. mean hospital stay of group-a and group-b patients was 1.85±0.59 and 1.27±0.19 days. in group-a and in group-b mean pain score at 1st post operative day was 2.63±0.49 and 2.13±0.34.both hospital stay and mean pain score at 1st post operative day was significantly lower in group-b patients. conclusion: results of this study confirms the hypothesis that thyroid surgery in case of solitary nodule without drain is more beneficial for patients in terms of short hospital stay and less pain score as compared to routine use of drain.