Comprehensive Analysis of Thyroidectomy-Related Complications: A Single-Center Perspective.

Autor:	Bhat SS; Trauma and Orthopaedics, Cardiff and Vale University Health Board, Cardiff, GBR., Koppolu S; Trauma and Orthopaedics, Barts Health NHS Trust, London, GBR., Prasannakumary R; Internal Medicine, Vinayaka Missions Medical College, Karaikal, IND., Bose N; Medicine, Madurai Medical College, Madurai, IND., Munusamy R; Medicine, Madurai Medical College, Madurai, IND., Gnanavelu H; Medicine, Bangalore Baptist Hospital, Bengaluru, IND., Ravichandran A; Medicine, Tirunelveli Medical College Hospital, Karaikal, IND., Vanka SS; Acute Medicine, Rajiv Gandhi Institute of Medical Sciences, Srikakulam, IND., Nazir AN; Medicine and Surgery, Tirunelveli Medical College, Karakali, IND., Agrawal M; Physical Medicine and Rehabilitation, S.S. Agrawal Institute of Physiotherapy and Medical Care Education, Navsari, IND.
Jazyk:	angličtina
Zdroj:	Cureus [Cureus] 2024 Oct 23; Vol. 16 (10), pp. e72206. Date of Electronic Publication: 2024 Oct 23 (Print Publication: 2024).
DOI:	10.7759/cureus.72206
Abstrakt:	Background Thyroid surgeries have become so common that they are performed for both benign and malignant conditions of the thyroid. However, hypoparathyroidism and recurrent laryngeal nerve (RLN) injury may turn out to be a nightmare, complicating the surgical outcome. This study will, therefore, attempt to assess the complications related to different types of thyroid surgeries in order to identify the risk factors involved. Methodology This is a report on an analytical study done in a tertiary care center for a span of 12 months on 60 patients aged between 18 and 80 who were subjected to thyroidectomy. The preoperative evaluation consisted of a complete ear, nose, and throat (ENT) examination, indirect laryngoscopy, routine blood tests, thyroid function tests, neck ultrasound, and fine-needle aspiration cytology (FNAC). The surgical interventions carried out were total thyroidectomy (TT), near-TT, sub-TT, and hemithyroidectomy (HT). Postoperative complications are followed for at least six months. Results The study identified postoperative complications in 21 patients (35%), with hypoparathyroidism being the most prevalent, affecting nine patients (15%). This complication rate is noteworthy, especially when compared to national or international averages, which typically report postoperative complication rates ranging from 10% to 30% after thyroid surgeries. RLN injury occurred in five patients (8%), while other complications, such as hematoma and wound infection, were observed in three patients (5%) and two patients (3%), respectively. Temporary hypoparathyroidism was observed in 15 patients (25%) who underwent TT, indicating a significant increase in the incidence of this complication compared to other surgical procedures. Conclusion It seems that there is an area where very precise surgical practice and extensive workup before surgery must be in place to prevent complications arising from thyroid surgeries. Continuous observation and planned follow-up should be as crucial for better outcome of the patient and timely management of complications arisen postoperatively. Competing Interests: Human subjects: Consent for treatment and open access publication was obtained or waived by all participants in this study. Vinayaka Missions Medical College issued approval VMMC/IC2022012. Animal subjects: All authors have confirmed that this study did not involve animal subjects or tissue. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work. (Copyright © 2024, Bhat et al.)
Databáze:	MEDLINE
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