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Objective: To determine the effectiveness of drainless thyroidectomy in terms of postoperative bleeding. Material & Methods: This randomized controlled trial was conducted in Khyber Teaching Hospital on 40 patients from January 2019 to December 2019 after getting ethical approval from the hospital ethical committee. Two groups were allocated consisting of 20 patients, one with drainage and one without drainage, and were observed for bleeding during their stay in the hospital postoperatively. Data was collected using SPSS-21 to compare the effectiveness of both the procedures and the results were described in the form of tables. Results: The difference in complication rates was not significant in the two groups. In the drainless group, two cases of seroma (5%) were noted in both groups. One case of hematoma was observed in the drain group. No case of hematoma was reported in the drainless group. Conclusion: The use of drainless thyroidectomy can be justified based on the available data in this study where no bleeding was observed in the intervention group. [ABSTRACT FROM AUTHOR]

Introduction: According to United Nations International Children's Emergency Fund (UNICEF) about 70% of the total population in Pakistan is at risk of developing thyroid diseases due to iodine deficiency. In Pakistan thyroid cancer is responsible for 1.2% cases of all malignant tumours. Ultrasound (U/S) is helpful in detecting cancer in thyroid nodules based on different features. Correct diagnosis of thyroid disease can minimize unnecessary surgery and removal of benign nodules. Objectives: To determine the ability of Fine Needle Aspiration Cytology (FNAC) and US independently and in combination in classifying thyroid nodules, keeping histopathology as gold standard. Study Design: Validation, cross-sectional study. Setting: Khyber Teaching Hospital, Peshawar, Surgical Department. Duration: From September 21,2020, to March 20,2021 Material and Methods: This was a cross sectional, validation study of234 patients. After taking approval from ethical committee of the hospital. Informed written consent was taken from the patients. Patients referred to Radiology Department, meeting the inclusion criteria were enrolled in the study after taking brief history and examination. Ultrasound followed by FNAC were performed and the biopsy was sent for histopathology. Results: 234 patients with solitary thyroid nodule diagnosed clinically and on ultrasound were observed, in which 52(22.22%) were male and 182(77.78%) were female patients. Average age was 41.18 years + 12.38SD. Accuracy of ultrasound, FNAC and their combination to detect malignancy in solitary thyroid nodule was 76.92%, 81.2% and 83.76% respectively. Conclusion: FNAC is superior in accurately identifying malignant thyroid nodules compared to ultrasound. The accuracy is increased when both modalities are used in combination. [ABSTRACT FROM AUTHOR]