Presentation and Management Outcomes of Goitres at a District Hospital in Abuja, North Central Nigeria: A 15-Year-Review.

Autor:	Aghahowa ME; Department of Surgery, Asokoro District Hospital, Abuja, Nigeria. E-mail Address: mikeaghahowa@yahoo.com Phone: +234 8035931287.; Department of Surgery, College of Health Sciences, Nile Universityof Nigeria, Abuja, Nigeria., Onyegbutulem HC; Department of Medicine, Asokoro District Hospital, Abuja, Nigeria.; Department of Medicine, College of Health Sciences, Nile University of Nigeria, Abuja, Nigeria., Bassey OS; Department of Radiology, Asokoro District Hospital, Abuja, Nigeria., Esomonu SN; FCT Primary Healthcare Board, Area 3, Garki, Abuja, Nigeria., Ezike KN; Department of Anatomic Pathology, Asokoro District Hospital, Abuja, Nigeria.; Department of Pathology, College of Health Sciences, Nile University of Nigeria, Abuja, Nigeria., Nwokorie RM; Department of Anaesthesiology, Asokoro District Hospital, Abuja, Nigeria.; Department of Anaesthesiology, College of Health Sciences, Nile University of Nigeria, Abuja, Nigeria., Ahmadu A; Department of Anaesthesiology, Asokoro District Hospital, Abuja, Nigeria.
Jazyk:	angličtina
Zdroj:	West African journal of medicine [West Afr J Med] 2022 Feb 28; Vol. 39 (2), pp. 176-182.
Abstrakt:	Background: The clinical and pathologic spectrums of goitres are wide. Even though Nigeria's Federal Capital Territory is within the geographic goitre bed, there is a paucity of thyroidrelated data from this region. The objective of this study was to determine the clinical presentation, management and outcomes of patients with goitre operated-on at the Department of Surgery, Asokoro District Hospital, in Abuja, Nigeria. Methodology: This is a retrospective study involving patients managed between January 2001 and December 2015. Data were extracted from patients' medical records, operation registers, and histopathology records. Variables were; age, sex, diagnosis, types of operation performed, post-operative complications and histological findings. All patients had general anaesthesia via cuffed endotracheal intubation and the surgical technique used was skin crease transverse collar stud incision. Results: One hundred and thirty four (134) patients were involved in the study: 124(92.5%) were females and 10(7.5%) males. Mean age was 38years±11.0SD. Seventy-seven (57.5%) patients had simple multi-nodular goitre, followed by simple left nodular goitre 20(14.9%) and simple right nodular goitre 17(12.7%). One hundred and twenty-one (90.5%) patients did not have any complications. On histologic examination, most of the lesions were multinodular goitres 60(44.8%), followed by simple nodular goitres, 23(17.2%). Follicular adenoma was the commonest neoplastic variant accounting for 12(9.1%) cases. Conclusion: The pattern of goitres in Abuja simulates that from other parts of Nigeria and many other African countries though with fewer malignancies in the present study. The management and outcome of goitres in Asokoro District Hospital Abuja is comparable to those obtained from other centres in Nigeria. Pre-and postoperative complications were also minimal. Competing Interests: The Authors declare that no competing interest exists. (Copyright © 2022 by West African Journal of Medicine.)
Databáze:	MEDLINE
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