Thyroid Surgery In Recurrent Multinodular Goitre

Kanwal Naz; Muhammad Naseem Baloch; Zahid Mehmood; Arsalna Javed; Syed Muhammad Shafqatullah; Vikram Lal Seetlani

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Thyroid Surgery In Recurrent Multinodular Goitre

Author(s)

Kanwal Naz Department of Endocrine & General Surgery Ward 25, Jinnah Postgraduate Medical Centre Karachi Pakistan

Muhammad Naseem Baloch Department of Endocrine & General Surgery Ward 25, Jinnah Postgraduate Medical Centre Karachi Pakistan

Zahid Mehmood Department of Endocrine & General Surgery Ward 25, Jinnah Postgraduate Medical Centre Karachi Pakistan

Arsalna Javed Department of Endocrine & General Surgery Ward 25, Jinnah Postgraduate Medical Centre Karachi Pakistan

Syed Muhammad Shafqatullah Department of Endocrine & General Surgery Ward 25, Jinnah Postgraduate Medical Centre Karachi Pakistan

Vikram Lal Seetlani Department of Endocrine & General Surgery Ward 25, Jinnah Postgraduate Medical Centre Karachi Pakistan

Abstract

Objective To evaluate the frequency of complications in re-operative thyroid surgeries for multinodular goiter (MNG) and the difficulties encountered during the procedures. Study design: Descriptive case series. Place & Duration of study: Department of Endocrine and General Surgery Unit 5, Jinnah Postgraduate Medical Centre Karachi, From May 2017 to April 2019. Methodology: Patients who underwent re-operative thyroid surgery for multinodular goitre were included in the study. Patients having malignancy in histopathology of the specimen were excluded. Recurrent laryngeal nerves were identified and preserved in all cases, by identifying anatomy. Written and informed consents were taken from all patients and data was collected on pre designed form. Thirty-seven patients were re-operated for MNG. There were 30 females and 7 males. Minimum age of the females was 35 year and maximum age 45 year, while minimum age of the male was 35 year and maximum age 40 year. No Recurrent laryngeal nerve (RLN) or parathyroid gland injury were noted. One (2.70%) male patient developed symptomatic neck hematoma which was explored and hemostasis secured. One (2.70%) male patient presented with temporary hypocalcemia and temporary hoarseness of voice, while only one (2.70%) female patient presented with temporary hoarseness of voice. Temporary hypocalcemia occurred in 2 (5.40%) patients including one male and one female. Three patients (8.10%) including one male and two females had bruise on neck. There was no wound infection noted in this series. Conclusion Recurrent thyroid surgeries are usually safe in experienced in dedicated thyroid surgery units.

Publication Details

Page(s) 81-85

DOI DOI not available

Published Journal: Journal of Surgery Pakistan, Volume: 24, Issue: 2, Year: 2019

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Keywords

Re-operative thyroid surgery, Thyroid diseases, Multinodular Goiter