| Autor: |
OlaOlorun DA; Department of Surgery, Baptist Medical Centre, Ogbomoso, Nigeria., Meier DE, Tarpley JL |
| Jazyk: |
angličtina |
| Zdroj: |
Tropical doctor [Trop Doct] 2000 Oct; Vol. 30 (4), pp. 221-3. |
| DOI: |
10.1177/004947550003000413 |
| Abstrakt: |
This is a retrospective analysis of 82 patients undergoing thyroid operations in a general medical practice hospital in sub-Saharan Africa. All patients complained of neck swelling, and in 75% of patients this was the only symptom. Indications for operation included cosmesis in 74%, suspected malignancy in 13%, hyperthyroidism in 7% and pressure symptoms in 5%. Operative complications included recurrent laryngeal nerve injury in two (2.4%), wound haematoma in two (2.4%), wound infection in three (3.6%) and hypoparathyroidism in one (1.2%). There were no deaths and no instances of thyroid storm. Thyromegaly can be operatively managed in a hospital such as ours with a relatively low morbidity rate using conservative gland extirpation techniques. This conservative approach may result in under treatment for thyroid malignancies but should result in a lower incidence of recurrent nerve damage and hypoparathyroidism in the majority of people who undergo thyroidectomy solely for cosmetic indications. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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