Skip to main content
Erschienen in: European Surgery 6/2013

01.12.2013 | Case Report

Intraoperative pharmacologic increase of systemic blood pressure to detect the source of hemorrhage in thyroid surgery and reoperation: a case report

verfasst von: K. Tonninger-Bahadori, C. Bures, H. T. Zipko, T. Klatte, M. Hermann

Erschienen in: European Surgery | Ausgabe 6/2013

Einloggen, um Zugang zu erhalten

Summary

Background

In reoperation for hemorrhage after thyroid surgery, the source of bleeding is frequently undetectable.

Case report

We report on a 70-year-old woman who required reoperation for postoperative hemorrhage after thyroidectomy for benign multinodular goiter. During the primary operation, one branch of the upper pole artery was cut accidentally and subsequently coagulated. No further bleeding was noted. During the operation, the patient was mainly hypotensive with a mean systolic blood pressure of 95 mmHg. In the recovery room, bleeding was noted after the blood pressure increased. During the reoperation, bleeding from the arterial upper pole stump was only identified after the blood pressure was increased by systemic administration of phenylephrine and etilefrine.

Conclusion

Pharmacological increase of systemic blood pressure can assist to identify sources of bleeding and may prevent postoperative hemorrhage.
Literatur
1.
Zurück zum Zitat Promberger R, J O, Kober F, et al. Risk factors for postoperative bleeding after thyroid surgery. Br J Surg. 2012;99:373–9. PubMedCrossRef Promberger R, J O, Kober F, et al. Risk factors for postoperative bleeding after thyroid surgery. Br J Surg. 2012;99:373–9. PubMedCrossRef
2.
Zurück zum Zitat Agarwal A, Mishra SK. Post-thyroidectomy haemorrhage: an analysis of critical factors in successful management. J Indian Med Assoc. 1997;95:418–9,433. PubMed Agarwal A, Mishra SK. Post-thyroidectomy haemorrhage: an analysis of critical factors in successful management. J Indian Med Assoc. 1997;95:418–9,433. PubMed
3.
Zurück zum Zitat Burkey SH, van Heerden JA, Thompson GB, Grant CS, Schleck CD, Farley DR. Reexploration for symptomatic hematomas after cervical exploration. Surgery. 2001;130:914–20. PubMedCrossRef Burkey SH, van Heerden JA, Thompson GB, Grant CS, Schleck CD, Farley DR. Reexploration for symptomatic hematomas after cervical exploration. Surgery. 2001;130:914–20. PubMedCrossRef
4.
Zurück zum Zitat Chiang FY, Lin JC, Wu CW, et al. Morbidity after total thyroidectomy for benign thyroid disease: comparison of Graves’ disease and non-Graves’ disease. Kaohsiung J Med Sci. 2006;22:554–9. PubMedCrossRef Chiang FY, Lin JC, Wu CW, et al. Morbidity after total thyroidectomy for benign thyroid disease: comparison of Graves’ disease and non-Graves’ disease. Kaohsiung J Med Sci. 2006;22:554–9. PubMedCrossRef
5.
Zurück zum Zitat Leyre P, Desurmont T, Lacoste L, et al. Does the risk of compressive hematoma after thyroidectomy authorize 1-day surgery? Langenbecks Arch Surg. 2008;393:733–7. PubMedCrossRef Leyre P, Desurmont T, Lacoste L, et al. Does the risk of compressive hematoma after thyroidectomy authorize 1-day surgery? Langenbecks Arch Surg. 2008;393:733–7. PubMedCrossRef
6.
Zurück zum Zitat Ozbas S, Kocak S, Aydintug S, Cakmak A, Demirkiran MA, Wishart GC. Comparison of the complications of subtotal, near total and total thyroidectomy in the surgical management of multinodular goitre. Endocr J. 2005;52:199–205. PubMedCrossRef Ozbas S, Kocak S, Aydintug S, Cakmak A, Demirkiran MA, Wishart GC. Comparison of the complications of subtotal, near total and total thyroidectomy in the surgical management of multinodular goitre. Endocr J. 2005;52:199–205. PubMedCrossRef
Metadaten
Titel
Intraoperative pharmacologic increase of systemic blood pressure to detect the source of hemorrhage in thyroid surgery and reoperation: a case report
verfasst von
K. Tonninger-Bahadori
C. Bures
H. T. Zipko
T. Klatte
M. Hermann
Publikationsdatum
01.12.2013
Verlag
Springer Vienna
Erschienen in
European Surgery / Ausgabe 6/2013
Print ISSN: 1682-8631
Elektronische ISSN: 1682-4016
DOI
https://doi.org/10.1007/s10353-013-0235-7

Weitere Artikel der Ausgabe 6/2013

European Surgery 6/2013 Zur Ausgabe