A fifteen year experience of total thyroidectomy for the management of simple multinodular goitres in a low medium income country
| Autor: | Afolabi, A O, Ayandipo, O O, Afuwape, O O, Ogundoyin, O A |
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| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Zdroj: | South African Journal of Surgery; Vol 54, No 4 (2016); 40-45 South African Journal of Surgery, Volume: 54, Issue: 4, Pages: 40-45, Published: NOV 2016 |
| ISSN: | 0038-2361 2078-5151 |
| Popis: | INTRODUCTION: Total thyroidectomy as a treatment for simple multinodular goitre is not well recognised in most centres in low middle income countries. METHODS: This paper is a retrospective review of outcomes of total thyroidectomy for simple multinodular goitres in the last fifteen years in a tertiary hospital in Nigeria. RESULTS: A total of 652 thyroidectomies were done from January 2001 to December 2015. Simple multinodular goitres were indication for a total thyroidectomy in 447 patients (68.6%) with a male to female ratio of 1:6. Postoperative complications were hypocalcaemia in 22 (4.9%), unilateral recurrent laryngeal nerve palsy in 13 (2.8%) and haemorrhage in 2 patients. Others were seroma and cellulitis. Tracheostomy was required in 35 (5.8%) patients but none was permanent. CONCLUSION: Total thyroidectomy is a relatively safe treatment option for patients who have simple multinodular goitre. It provides a permanent cure with a low postoperative morbidity risk. The burden of replacement l-thyroxine needs to be discussed with the patients. |
| Databáze: | OpenAIRE |
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