Haemostasis in Thyroid Surgery: CollagenFibrinogen-Thrombin Patch (CFTP) Versus Cellulose Gauze. Our Experience.

Purpose: Postoperative hemorrhage is fortunately uncommon but potentially life threatening complication of thyroid surgery that increases the postoperative morbidity and the hospital stay. In this study we compare the efficacy of collagen patch coated with human fibrinogen and human thrombin (CFTP) (group C) and oxidized regenerated cellulose gauze (group B) versus traditional hemostatic procedures (group A) in thyroid surgery. Methods: From January 2011 to December 2013, 226 were eligible for our prospective, non-randomized, comparative study. Patients requiring a video-assis ted thyroidectomy, without drain or near total or hemithyroidectomy were excluded. Others exclusion criteria were a diagnosis of malignancy, substernal goiter, disorders of hemostasis or coagulation and Graves’ or hyper-functioning thyroid diseases. Outcomes included duration of operation, drainage volume post-operative complications. Results: Our results show a significant reduction in drainage volume in the group C in comparison with the others two groups. In the group C there were no bleedings but the limited numbers don’t make significant this result. There were no differences in terms of other complications, except for the incidence of seroma in group B. Conclusion: the use of CFTP reduces the drainage volume potentially the bleeding complications and the hospital stay. These findings confirm the efficacy of CFTP, encouraging its use in thyroid surgery