TITLE:
Total Thyroidectomy in Multinodular Goiter: An African Experience
AUTHORS:
Moussa Abdoulaye Ouattara, Seydou Togo, Ibrahima Sankaré, Kadiatou Singaré, Sekou Koumaré, Issa Maiga, Allaye Ombotibé, Jacques Saye, Assa Traoré, Nouhoum Diani, Zimogo Ziè Sanogo, Sadio Yena
KEYWORDS:
Multi-Nodular Goiter, Total Thyroidectomy, Complication
JOURNAL NAME:
Surgical Science,
Vol.6 No.12,
December
25,
2015
ABSTRACT: Introduction: Total thyroidectomy is an operation that involves the surgical removal of
the whole thyroid gland, with the preservation of the parathyroid glands. The aim
of the present study was to assess the complication rates of total thyroidectomy
on benign indication and first-time thyroid surgery and investigate the early outcome
after opotherapy. Materials and Methods: In this retrospective study, patients who
underwent total thyroidectomy for benign multinodular goiter in the department of
thoracic surgery in our Hospital from January 2012 to December 2014 were included.
In postoperative time, we evaluated surgical complication, histopathological examination
and opotherapy. Results: A total 53 patients underwent total thyroidectomy for multmodular
goiter; they were 49 (92.45%) bilateral and 4 (7.55%) unilateral (recurrence). The
mean age was 47 years and mean diameter of goiter was 10.75 cm. Among the patients
88.68% were females and 11.32% were male. Preoperative hormonal statuses were (70%)
in euthyroid and (30%) hyperthyroid following
surgery complications like transient laryngeal nerve palsy (3.77%), transient
hypocalcemia (7.55%), hematoma (1.9%) and wound infection (1.9%). On histopathological
examination of the surgical specimen, 5.7% were reported to be malignant. Six month
following surgery 92.45% of patients was a good hormonal balance. Conclusion: Total
thyroidectomy for multinodular goiter has a low morbidity and mortality; this procedure
olves both the problem of recurrence of disease and reintervention. The opotherapy
is doable with a good hormonal balance.