• Stiliani Laskou, Georgia Tsaousi, Chryssa Pourzitaki, Labrini Loukipoudi, Georgios Papazisis, Isaak Kesisoglou, and Konstantinos Sapalidis.
• 3rd Surgical Department, School of Medicine, Aristotle University of Thessaloniki, 54124 Thessaloniki, Greece.
• Medicina (Kaunas). 2023 Sep 14; 59 (9).

AbstractThe first few hours following thyroidectomy are the most crucial for pain management. Adequate postoperative pain control, reduction in opioid abuse and the possibility of implementing one-day operations are the considered parameters when developing the postoperative analgesic strategy. A study of the available literature was conducted, exploring the efficacy of (open) thyroidectomy wound infiltration. Seventeen full-text RCTs were extracted. Local anesthetics and non-steroidal anti-inflammatory drugs were infiltrated. Emphasis was given to postoperative pain scores and requirements for rescue analgesia with opioids. Most authors agree that local wound infiltration for thyroidectomized patients is effective in the management of postoperative pain parameters. In the era of multimodal analgesia, thyroidectomy wound infiltration could represent an essential adjunct contributing to lower VAS scores and reduced opioid requirements.

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