BACKGROUND: Thyroidectomy is the surgical removal of all or part of the thyroid gland for non-neoplastic and neoplastic thyroid diseases. Major postoperative complications of thyroidectomy, including recurrent laryngeal nerve injury, hypocalcemia, and hypothyroidism, are not infrequent. OBJECTIVE: Summarize the frequency of surgical complications of thyroidectomy. DESIGN: Retrospective. SETTING: Secondary health facility in southwestern Saudi Arabia. PATIENTS AND METHODS: We collected data from the records of patients who were managed for thyroid diseases between December 2013 and December 2019. MAIN OUTCOME MEASURE: Complications following thyroidectomy. SAMPLE SIZE: 339 patients, 280 (82.6%) females and 59 (17.4%) males. RESULTS: We found 311 (91.7%) benign and 28 (8.3%) malignant thyroid disorders. Definitive management included 129 (38.1%) total thyroidectomies, 70 (20.6%) hemithyroidectomies, 10 (2.9%) subtotal thyroidectomies and 5 (1.5%) near-total thyroidectomies with 125 (36.9%) patients treated non-surgically. The overall complication rate was 11.3%. There were 4 (1.9%) patients with recurrent laryngeal nerve palsy, 16 (7.5%) patients with temporary hypoparathyroidism, 1 (0.5%) patient with paralysis of the external branch of the superior laryngeal nerve and 3 (1.4%) patients with wound hematoma. CONCLUSION: The rate of complications following thyroidectomy is still high. There is a need for emphasis on comprehensive measures to control the high rate of complications. LIMITATIONS: Retrospective design and no long-term follow up to monitor late complications. CONFLICT OF INTEREST: None.

No abstract

Background: There is a high prevalence of goiter in Bisha despite more than 15 years of the national campaign for increased dietary iodine supplementation. The cause is multifactorial. It is associated with non-neoplastic and neoplastic conditions. Surgical management has evolved over many years.Purpose: To describe the pathological types of goiter in Bisha along with their management and to discuss current surgical considerations. Methodology:A retrospective review of 339 patients with goiter diagnosed by FNAC and or histopathological examination and managed surgically or non-surgically.Results: There were 339 patients, of which 280 (82.6%) were females and 59 (17.4%) males. Age range was seven to 94 years with a mean of 39.18 ± 13.87 years. There were 138 (40.7%) multinodular goiters, 82 (24.2%) colloid goiters, 8 diffuse goiters (2.4%), 40 (11%) solitary thyroid nodules, 10 thyroid nodules (2.9%), 14 thyroid cysts (4.1%), 20 Hashimoto's thyroiditis (5.9%) and two de Quervain's thyroiditis (0.6%). Benign thyroid neoplasms comprised of 25 (7.4%) follicular adenomas and 11 (3.2%) Hürthle cell adenomas. Malignant thyroid disorders consisted of 18 (5.3%) papillary thyroid cancers, 7 (2.1%) mixed papillary/ follicular thyroid cancers, one (0.3%) mixed follicular/ papillary thyroid cancer, and three (0.9%) follicular thyroid cancers respectively. There were 128 (37.1%) total thyroidectomies, 70 (20.6%) hemithyroidectomies, 10 (2.9%) subtotal thyroidectomies and, 5 (1.5%) near-total thyroidectomies. There were 125 (36.9%) patients who had no surgery. The overall complication rate was 14.5%. Conclusion:Thyroid disorders are still prevalent despite years of dietary iodine supplementation campaigns. The rate of complications following total thyroidectomy is significant and guidelines are changing.

Background: Reconstructive surgery is performed on body parts damaged due to a disease or another adverse condition to restore the appearance and function to the point before the damage. This study aimed at assessing the scope of knowledge about plastic and reconstructive surgery among the medical students in Saudi Arabia. Methods: A cross-sectional study of a convenience sample was conducted to assess the awareness of Medical Students' Perceptions of the Scope of Plastic and Reconstructive Surgery in Saudi Arabia. An electronic questionnaire was distributed to all Saudi medical students using the convenience sampling technique. A total of 814 participants completed the study. The data were analyzed using Statistical Package of Social Sciences (SPSS) version 26.. Results: A total of 814 participants were included in this study. Participants were divided by school year: 212 (26%) of the participants were in the second year, 94 (11.5%) were in the third year, 148 (18.2%) were in the fourth year, 89 (10.9%) were in the fifth year, 145 (17.8%) were in the sixth year, and 126 (15.5%) were interns. As for the participants' regions in Saudi Arabia, 179 (22%) were from the central region, 126 (15.5%) were from the eastern region, 117 (14.4%) were from the northern region, 145 (17.8%) were from the western region, and 247 (30.3%) were from the southern region Conclusion: The knowledge of plastic surgery among medical students was found inadequate. Medical students are more familiar with burn treatment and the aesthetic aspect of plastic surgery (such as rhinoplasty, breast reconstruction, and cleft lip correction).