Abstract

Background/Objectives: Thyroidectomy is widely considered a safe procedure; however, several post-operative complications can occur, including post-surgery hemorrhage, which is considered a rare but life-threatening condition. Different strategies are employed before, during, and after surgery to minimize the risks. The aim of the present study is to describe a standardized patient management and surgical technique in thyroid surgery to prevent post-operative hemorrhage. Methods: Patients undergoing a thyroidectomy between January 2024 and June 2025 in a single center were included. Pre-operative strategies included blood pressure checks and thyroid function blood exams. Surgery was performed using a standardized technique and with a surgical energy device. Following the procedure, high blood pressure was corrected pharmacologically. Results: One hundred and twenty-three patients undergoing total thyroidectomy were included. Only one patient suffered from a post-operative hemorrhage, exhibiting an asymptomatic cervical hematoma that had been spontaneously drained one day after surgery. None of the patients required further surgeries for post-operative bleeding. Conclusions: With the application of standardized patient management and surgical techniques, zero cases of re-operation for post-operative bleeding were reported. This result strongly encourages the utilization of a standardized surgical technique to improve pre- and post-operative patient management and minimize the risk of life-threatening complications such as post-operative bleeding.

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