Prophylactic use of fibrin sealant (ARTISS™) for facilitating safe transition to drain-free thyroid surgery: a single-centre case series review of 109 procedures

Despite a lack of evidence to support drain insertion in thyroid surgery, drain placement, to prevent rapidly expanding haematoma which occurs in around 1% of cases, remains common ^1,2,3. Throughout surgery there has been a drive towards reducing postoperative length of hospital admission. For day-case thyroidectomy to become a widely adopted clinical reality, the use of drains requires abandonment, but beyond this, the cause for surgeons' reticence to practise drain-free surgery, namely haematoma risk, needs to be addressed. This paper describes a study conducted to examine the efficacy of ARTISS^™, a commercially available thrombin-dilute fibrin sealant, in thyroid surgery to permit safe transition to drain-free surgery.

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