Effect of Intrapleural Povidone-Iodine Lavage on Thyroid Hormones in Thoracic Surgery

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dc.contributor.authorFındık, Göktürk
dc.contributor.authorGezer, Suat
dc.contributor.authorAydoğdu, Koray
dc.contributor.authorÖz, Gürhan
dc.contributor.authorKüçükbayrak, A.
dc.contributor.authorTaştepe, İrfan
dc.contributor.authorKaya, Sadi
dc.date.accessioned2020-05-01T09:11:42Z
dc.date.available2020-05-01T09:11:42Z
dc.date.issued2010
dc.departmentDÜ, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümüen_US
dc.descriptionfindik, gokturk/0000-0002-8861-7608en_US
dc.descriptionWOS: 000279309900010en_US
dc.descriptionPubMed: 20514578en_US
dc.description.abstractObjective: Povidone-iodine (PI) is an effective disinfectant used in many surgical operations. It is known that PI is absorbed by the skin after application. Absorption is even greater in infants, as their skin is thinner and more permeable. Iodine absorption in the orbita, neck and during abdominal surgery has been previously investigated, but such a study has not been performed for the pleura, which has a greater area and capacity for absorption. In this study, we investigated the effect of intraoperative povidone-iodine lavage on thyroid hormones during thoracic surgery. Material and Method: Fifty patients without any thyroid pathology scheduled for thoracotomy were divided into 2 groups. Group A (n = 25) was given intraoperative saline lavage, while group B (n = 25) had povidone-iodine lavage. Levels of free T3 (FT3), free T4 (FT4) and thyroid-stimulating hormone (TSH) measured 1 day preoperatively and 1 day postoperatively were analyzed. Results: There was a statistically meaningful change in FT3 levels (p = 0.033) between groups, but the measured changes in FT4 and TSH levels were not statistically significant (p = 0.98 and p = 0.71, respectively). FT3 scores for group A were decreased postoperatively compared to the scores for group B, but all results were in normal ranges. In group A, the changes between preoperative and postoperative levels of FT3 and FT4 were statistically significant, while changes in TSH levels were not. In group B, changes in FT4 levels were statistically significant and changes in FT3 and TSH levels were not. Conclusions: The scores show that the iodine absorbed by the pleura during intraoperative povidone-iodine lavage has an effect on thyroid function. Intrapleural PI lavage results in changes to some thyroid hormone levels due to pleural absorption. Thus, intrapleural PI lavage should be used with care.en_US
dc.identifier.doi10.1055/s-0029-1240920en_US
dc.identifier.endpage228en_US
dc.identifier.issn0171-6425
dc.identifier.issue4en_US
dc.identifier.scopusqualityN/Aen_US
dc.identifier.startpage225en_US
dc.identifier.urihttps://doi.org/10.1055/s-0029-1240920
dc.identifier.urihttps://hdl.handle.net/20.500.12684/5726
dc.identifier.volume58en_US
dc.identifier.wosWOS:000279309900010en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakPubMeden_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherGeorg Thieme Verlag Kgen_US
dc.relation.ispartofThoracic And Cardiovascular Surgeonen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectpovidone-iodineen_US
dc.subjectlavageen_US
dc.subjectabsorptionen_US
dc.subjectpleuraen_US
dc.titleEffect of Intrapleural Povidone-Iodine Lavage on Thyroid Hormones in Thoracic Surgeryen_US
dc.typeArticleen_US

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