Objective： The aim of our study was to compare the risk of main postoperative complications of patients un- derwent total thyroidectomy （TT）, near total thyroidectomy （NTT） and subtotal thyroidectomy （ST） for t...Objective： The aim of our study was to compare the risk of main postoperative complications of patients un- derwent total thyroidectomy （TT）, near total thyroidectomy （NTT） and subtotal thyroidectomy （ST） for treating BMNG. Methods： Electronic databases including Cochrane Controlled Trials Register, EMbase, Medline, SCI Expanded-ISI, NTIS, SIGLE and CNKI were searched. Eligible studies were randomized controlled trials which compared the incidence of postoperative complications of TT with ST/NTT for treating BMNG. Data extraction was using predefined data fields and assessment of methodological quality with the GRADE approach. A ManteI-Haenszel random-effects model was used and the effect sizes were expressed by using relative risks and 95% confidence intervals. Results： Four studies including 881 participants that met inclusion criteria were analyzed. Compared with ST/NTT, TT was associated with increased risk of transient RLNI （recur- rent laryngeal nerve injuries） （relative risk 2.18, 95% confidence interval 1.08 to 4.42; P 〈 0.05） and transient hypocalcemia （3.79, 1.64 to 8.77; P 〈 0.05）, but there were no statistically significant differences in permanent RLNI （1.36, 0.31 to 6.02; P 〉 0.05） and permanent hypocalcemia （2.37, 0.35 to 15.97; P 〉 0.05）. The quality of evidence for each individual outcome was ultimately rated as moderate （permanent RLNI and permanent hypocalcemia）, low （transient RLNI and transient hypocalce- mia）. Conclusion： For treating BMNG with thyroidectomy, there were no statistically significant differences in postoperative complications between TT and ST/NTT on a long view.展开更多
Importance A nasogastric tube is used commonly to decompress the stomach and provide enteral feeding in surgical and medical practice.Sometimes this safe and innocent‐looking tube may lead to unexpected complications...Importance A nasogastric tube is used commonly to decompress the stomach and provide enteral feeding in surgical and medical practice.Sometimes this safe and innocent‐looking tube may lead to unexpected complications.We focus here on the possibility of spontaneous‘lariat loop’knotting of the nasogastric tube when some resistance is felt on tube retrieval and describe a method of safe tube removal.Case presentation We present a case of self‐knotting of a nasogastric tube that was placed to decompress the stomach during the postoperative period after surgical repair of anorectal malformation in a 4‐month‐old boy.Conclusion Self‐knotting of the distal end of nasogastric tube is an unusual complication with catastrophic sequelae if not addressed properly.If any resistance is felt during nasogastric tube retrieval,self‐knotting of the tube must be suspected.展开更多
文摘Objective： The aim of our study was to compare the risk of main postoperative complications of patients un- derwent total thyroidectomy （TT）, near total thyroidectomy （NTT） and subtotal thyroidectomy （ST） for treating BMNG. Methods： Electronic databases including Cochrane Controlled Trials Register, EMbase, Medline, SCI Expanded-ISI, NTIS, SIGLE and CNKI were searched. Eligible studies were randomized controlled trials which compared the incidence of postoperative complications of TT with ST/NTT for treating BMNG. Data extraction was using predefined data fields and assessment of methodological quality with the GRADE approach. A ManteI-Haenszel random-effects model was used and the effect sizes were expressed by using relative risks and 95% confidence intervals. Results： Four studies including 881 participants that met inclusion criteria were analyzed. Compared with ST/NTT, TT was associated with increased risk of transient RLNI （recur- rent laryngeal nerve injuries） （relative risk 2.18, 95% confidence interval 1.08 to 4.42; P 〈 0.05） and transient hypocalcemia （3.79, 1.64 to 8.77; P 〈 0.05）, but there were no statistically significant differences in permanent RLNI （1.36, 0.31 to 6.02; P 〉 0.05） and permanent hypocalcemia （2.37, 0.35 to 15.97; P 〉 0.05）. The quality of evidence for each individual outcome was ultimately rated as moderate （permanent RLNI and permanent hypocalcemia）, low （transient RLNI and transient hypocalce- mia）. Conclusion： For treating BMNG with thyroidectomy, there were no statistically significant differences in postoperative complications between TT and ST/NTT on a long view.
文摘Importance A nasogastric tube is used commonly to decompress the stomach and provide enteral feeding in surgical and medical practice.Sometimes this safe and innocent‐looking tube may lead to unexpected complications.We focus here on the possibility of spontaneous‘lariat loop’knotting of the nasogastric tube when some resistance is felt on tube retrieval and describe a method of safe tube removal.Case presentation We present a case of self‐knotting of a nasogastric tube that was placed to decompress the stomach during the postoperative period after surgical repair of anorectal malformation in a 4‐month‐old boy.Conclusion Self‐knotting of the distal end of nasogastric tube is an unusual complication with catastrophic sequelae if not addressed properly.If any resistance is felt during nasogastric tube retrieval,self‐knotting of the tube must be suspected.
