Thyroid Surgery: Techniques, Complications, and Patient Outcomes

Authors

  • Saad Kadhim Mubarak -AL Azzawi M.B.CH.B,F.I.C.M.S (General surgery) Abstract: Al Amam ALSadiq Educational Hospital, Babilon Health Directory

Abstract

When the thyroid gland, which is situated in the front section of the neck, becomes infected or otherwise unhealthy, the surgeon doing the thyroidectomy will remove all or part of the gland. This study aimed to know the Thyroid Surgery: Techniques, Complications, and Patient Outcomes. An analysis of demographic data was performed using IBM SOFT SPSS 22 in retrospective research including 85 patients who had thyroidectomy procedures performed at various Iraqi hospitals between 2018 and 2020.  Data on the gender, age, and developmental status of patients who had surgery within the specified time period was retrieved from their medical records. Hypercalcemia affected 12.9% of patients, wound hematoma 8.2%, and external branch of superior laryngeal nerve palsy 5.9% of the 85 patients included in this research.  The results showed a favorable and statistically significant correlation (p = 0.056) between the occurrences of the various thyroid surgical complications.

References

Thyroid gland surgery josé Luis pardal-refoyo sacyl. Zamora Healthcare Complex. Otolaryngology Service. Zamora, Spain.

Sosa MG, Ernand RS (2016) Thyroidectomy at “Calixto García” general hospital. Cuban Journal of Surgery.

Pizarro FI (2013) Thyroid and goiter: Historical evolution and its great characters default. Rev Medica Condes. 4. (2017) Sociodemographic and epidemiological characterization of the most frequent neoplasms attended at Hospital Escuela Universitario, Honduras. Champion Federico Mendoza Talavera 13 (1): 1.

Reeve T, Thompson NW. Complications of Thyroid Surgery: How to Avoid Them, How to Manage Them, and Observations on Their Possible Effect on the Whole Patient. World J Surg. 2000;24 (8):971–5.

Menegaux F, Turpin G, Dahman M, Leenhardt L, Chadarevian R, Aurengo A, m.fl. Secondary thyroidectomy in patients with prior thyroid surgery for benign disease: A study of 203 cases. Surgery. 1999;126 (3):479–83.

Elfenbein DM, Schneider DF, Chen H, Sippel RS. Surgical site infection after thyroidectomy: a rare but significant complication. J Surg Res. 2014;190 (1):170–6.

Dionigi G, Rovera F, Boni L, Castano P, Dionigi R. Surgical Site Infections after Thyroidectomy. Surg Infect. 2006;7 (supplement 2): s-117.

Dionigi G, Rovera F, Boni L, Dionigi R. Surveillance of surgical site infections after thyroidectomy in a one-day surgery setting. Int J Surg Lond Engl. 2008;6 Suppl 1:S13- 15.

Asari R, Passler C, Kaczirek K, Scheuba C, Niederle B. Hypoparathyroidism after total thyroidectomy: A prospective study. Arch Surg. 2008;143 (2):132–7

Benhidjeb T, Wilhelm T, Harlaar J, Kleinrensink GJ, Schneider TAJ, et al. (2009) Natural orifice surgery on thyroid gland: Totally transoral videoassisted thyroidectomy (Tovat): Report of first experimental results of a new surgical method. Surg Endosc 23 (5): 1119-1120.

Refoyo JLP (2012) Utility of neuromonitoring in thyroid surgery. Acta Otorrinolaringol Esp 63 (5): 355-363.

Nuño P, Montañez JB, Carrasco CR, Negrín AP (2002) Immediate postoperative period in patients undergoing total thyroidectomy in ICU. Enferm Intensiva 13 (2): 78-84

Edafe O, Antakia R, Laskar N, Uttley L, Balasubramanian SP (2014) Systematic review and meta-analysis of predictors of postthyroidectomy hypocalcemia. Br J Surg 101 (4): 307-320.

Espino CP, Já RB, Caselles AM, González SJ, Pavía GA, et al. (2018) Use of the value of intact parathyroid hormone on the first postoperative day after total thyroidectomy as a predictor of permanent hypoparathyroidism. Endocrinol Diabetes Nutr.

Henry BM, Sanna B, Vikse J, Graves MJ, Spulber A, et al. (2017) Zuckerkandl’s tubercle and its relationship to the recurrent laryngeal nerve: A cadaveric dissection and meta-analysis. Auris Nasus Larynx 44 (6): 639-647.

Rojas M, Quijano Y, Miguel R, Bernal L (2016) Anatomical variations of the recurrent laryngeal nerve in a Colombian population sample recurrent laryngeal nerve in a sample of the Colombian population. Rev Fac Med 64 (2): 207-213.

Toda FILL, Salas MMV (2017) Thyroid pathology update. In: Aepap (Edr.), Pediatrics Update Course pp. 161-174.

Fernandez M (2015) Official presentation of the Spanish society of otorhinolaryngology and cervico-facial pathology 2015. Pathology and Surgery of the Thyroid and Parathyroid Glands. 16. Garcia G (2016) Thyroid physiology. Med Int Mex 32 (5): 569-575.

Ortega PR, Urra AB, Compan AJ (2011) Clinical experience in total thyroidectomy. Rev Otorrinolaringol Cir Head Neck 71: 5356.

Joliat GR, Guarnero V, Demartines AN, Schweizer V, Matter M (2017) Recurrent laryngeal nerve injury after thyroid and parathyroid surgery incidence and postoperative evolution assessment. Medicine 96 (17): e6674.

Downloads

Published

2024-04-18

How to Cite

Azzawi, S. K. M. .-A. (2024). Thyroid Surgery: Techniques, Complications, and Patient Outcomes. International Journal of Integrative and Modern Medicine, 2(4), 47–52. Retrieved from https://medicaljournals.eu/index.php/IJIMM/article/view/238