Author(s)

Lassey James Didier^1*, Maman Bachir Abdoulaye², Ousseini Adakal², Harissou Adamou³, Adama Saidou¹, Ibrahim Amadou Magagi², Kadi Idé¹, Moussa Gagara⁴, Maarouf Malam⁵, Taher Sidibé⁶, Rachid Sani¹

¹Department of Surgery and Surgical Specialties, National Hospital of Niamey, Faculty of Health Sciences of the University Abdou Moumouni, Niamey, Niger.
²Department of Surgery and Surgical Specialties, Faculty of Health Sciences of the University of Maradi, Maradi, Niger.
³Department of Surgery and Surgical Specialties, Zinder National Hospital, Faculty of Health Sciences of the University of Zinder, Zinder, Niger.
⁴Department of Anesthesia, Intensive Care and Emergencies, Niamey National Hospital, Niamey, Niger.
⁵Maternity Issaka Gazobi, Gynecology and Obstetrics Services, Niamey, Niger.
⁶Radiology Department at Niamey National Hospital, Niamey, Niger.

Introduction: Goiter is the most common endocrine disease in the world. The objective of our study is to assess and compare the morbidity linked to the surgical management of goiters and thyroid tumors in the general surgery department of the Niamey National Hospital. Result: We collected data on a prospective basis on 112 cases having undergone a thyroidectomy between March 2019 and April 2020. The female sex is predominant with 96.4%, i.e. a sex ratio of 0.037. The average age is 41.2 years with extremes ranging from 22 to 72 years old. The average duration of evolution of goiter is 7.5 years with extremes ranging from 5 months to 20 years old. The first reason for consultation is anterior cervical swelling. TSH testing confirmed euthyroidism in 107 patients (95.5%). Therapeutically, loboisthmectomy is the most performed procedure with 43.7%. The postoperative hormonal assessment revealed 32% hypothyroidism at 6 months, with a significant difference for cases of total thyroidectomy. The occurrence of postoperative hypocalcemia was significantly greater after total and subtotal thyroidectomy. There is no significant difference in terms of recurrent complications. Conclusion: Thyroidectomies must be performed after adequate preparation and information to the patient on possible postoperative complications, hence the need for close medical monitoring immediately and remotely.

Goiter, Thyroidectomy, Complications, Niamey, Niger

Didier, L. , Abdoulaye, M. , Adakal, O. , Adamou, H. , Saidou, A. , Magagi, I. , Idé, K. , Gagara, M. , Malam, M. , Sidibé, T. and Sani, R. (2021) Outcomes of Thyroid Surgery at Niamey National Hospital. Surgical Science, 12, 218-225. doi: 10.4236/ss.2021.127024.