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Complications Following Completion Thyroidectomy

Author(s)
Zahid Mehmood Department of Surgery Ward 25, Jinnah Postgraduate Medical Centre (JPMC) Karachi Pakistan
Saad Abdul Razzak Department of Surgery Ward 25, Jinnah Postgraduate Medical Centre (JPMC) Karachi Pakistan
Muhammad Naseem Baloch Department of Surgery Ward 25, Jinnah Postgraduate Medical Centre (JPMC) Karachi Pakistan
Hammar Shahid Department of Surgery Ward 25, Jinnah Postgraduate Medical Centre (JPMC) Karachi Pakistan
Rabiya Khan Buledi Department of Surgery Ward 25, Jinnah Postgraduate Medical Centre (JPMC) Karachi Pakistan
Arsalna Javed Department of Surgery Ward 25, Jinnah Postgraduate Medical Centre (JPMC) Karachi Pakistan
Abstract
Objective To evaluate the complications in completion thyroidectomy after unilateral thyroid lobectomy and isthmusectomy due to malignancy in histopathology report. Study design Descriptive cross sectional study. Place & Duration of study  This study was conducted in Surgical ward 25, Jinnah Postgraduate Medical Centre Karachi,from January 2018 to December 2018. Methodology: Fifty-seven patients who underwent completion thyroidectomy for the treatment of well differentiated thyroid cancer were included in this study. Patients with medullary, anaplastic and thyroid lymphoma were excluded. Serum calcium levels were monitored one day before the surgery and on 1st postoperative day. Written and informed consent was taken and data collected on pre-designed form. Recurrent laryngeal nerve (RLN) was identified and preserved in all cases. One (1.7%) patient developed transient hoarseness of voice, 4 (7.01%) had transient hypocalcemia, and 2 (3.5%) patients developed seroma. One (1.7%) patient was re-explored on the same postoperative day for neck hematoma which caused dyspnea and tachypnea. No patient developed wound infection. No patient developed permanent hypoparathyroidism / hypocalcemia at 3 months follow-up. Conclusion Completion thyroidectomy can be safely used as a mainstay of treatment for well differentiated thyroid malignancies.
Publication Details
Page(s) 67-70
DOI DOI not available
Published Journal: Journal of Surgery Pakistan, Volume: 24, Issue: 2, Year: 2019

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Keywords
Thyroid carcinoma, Thyroidectomy, Completion thyroidectomy.
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