title: Five-years' experience with outpatient thyroglossal duct cyst surgery.
abstract: OBJECTIVE
  Many pediatric surgeons feel uncomfortable doing Sistrunk procedure without drain placement and in an outpatient setting. This study aimed to review our pediatric surgery department's experience in managing thyroglossal duct cyst surgery and to prove feasibility and safety of Sistrunk procedure without drain placement in an outpatient setting.
  
  
  METHODS
  A retrospective review was performed of all patients who underwent Sistrunk procedure, between January 2011 and December 2015, in our department.
  
  
  RESULTS
  A total of 36 patients were included, with age ranging from 1 to 14 years (mean 6.3 years). Sixteen patients underwent day surgery, and 20 stayed overnight (with less than 24 h postoperative discharge). The main reason to stay overnight was distance (greater than 60 km or 1 h driving) between the hospital and patient's residence. All patients had histopathological confirmation of the diagnosis. None of the patients had a drain placed intraoperatively. There was only one readmission at 48 h postoperative; a patient who underwent day surgery came back with cervical edema, which resolved with non-operative treatment. Short-term complications included post-operative local wound infection (8,5%) and hematoma (2,9%), none of which required surgical treatment.
  
  
  CONCLUSIONS
  Sistrunk procedure without drain placement is safe and can be performed in an outpatient setting.
authors.affiliation: Pediatric Surgery Department, Centro Materno Infantil do Norte, Centro Hospitalar do Porto, EPE, Portugal; Centro Materno Infantil do Norte, Centro Hospitalar do Porto, EPE, Largo Maternidade Júlio Dinis, 4050-371 Porto, Portugal. Electronic address: ana.r.coelho@gmail.com.
authors.forename: Ana
authors.initials: A
authors.lastname: Coelho
authors.affiliation: Pediatric Surgery Department, Centro Materno Infantil do Norte, Centro Hospitalar do Porto, EPE, Portugal; Centro Materno Infantil do Norte, Centro Hospitalar do Porto, EPE, Largo Maternidade Júlio Dinis, 4050-371 Porto, Portugal.
authors.forename: Catarina
authors.initials: C
authors.lastname: Sousa
authors.affiliation: Pediatric Surgery Department, Centro Materno Infantil do Norte, Centro Hospitalar do Porto, EPE, Portugal; Centro Materno Infantil do Norte, Centro Hospitalar do Porto, EPE, Largo Maternidade Júlio Dinis, 4050-371 Porto, Portugal.
authors.forename: Ana Sofia
authors.initials: AS
authors.lastname: Marinho
authors.affiliation: Pediatric Surgery Department, Centro Materno Infantil do Norte, Centro Hospitalar do Porto, EPE, Portugal; Centro Materno Infantil do Norte, Centro Hospitalar do Porto, EPE, Largo Maternidade Júlio Dinis, 4050-371 Porto, Portugal.
authors.forename: Joana
authors.initials: J
authors.lastname: Barbosa-Sequeira
authors.affiliation: Pediatric Surgery Department, Centro Materno Infantil do Norte, Centro Hospitalar do Porto, EPE, Portugal; Centro Materno Infantil do Norte, Centro Hospitalar do Porto, EPE, Largo Maternidade Júlio Dinis, 4050-371 Porto, Portugal.
authors.forename: João
authors.initials: J
authors.lastname: Ribeiro-Castro
authors.affiliation: Pediatric Surgery Department, Centro Materno Infantil do Norte, Centro Hospitalar do Porto, EPE, Portugal; Centro Materno Infantil do Norte, Centro Hospitalar do Porto, EPE, Largo Maternidade Júlio Dinis, 4050-371 Porto, Portugal.
authors.forename: Fátima
authors.initials: F
authors.lastname: Carvalho
authors.affiliation: Pediatric Surgery Department, Centro Materno Infantil do Norte, Centro Hospitalar do Porto, EPE, Portugal; Centro Materno Infantil do Norte, Centro Hospitalar do Porto, EPE, Largo Maternidade Júlio Dinis, 4050-371 Porto, Portugal.
authors.forename: João
authors.initials: J
authors.lastname: Moreira-Pinto
mesh_terms: D000293:Adolescent; D000556:Ambulatory Surgical Procedures; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D010351:Patient Discharge; D011183:Postoperative Complications; D012189:Retrospective Studies; D013955:Thyroglossal Cyst / Q000601:surgery*
keywords: Ambulatory surgery; Pediatric surgery; Sistrunk procedure; Thyroglossal cyst