Clinico-Epidemiological Study and Treatment Outcome of Multinodular Goitre at A Tertiary Care Hospital

Sanjeeva, Karthik Kathladka; Chandra, B. Sarat; Balakrishna, M A; Ramesh, D

doi:10.7860/jcdr/2015/12947.6098

Cited by 13 publications

(15 citation statements)

References 5 publications

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“…Chetan VR et al study noted hemi-thyroidectomies that comprised 66% compared to just 10% of hemithyroidectomies in Karthik Kathladka et al study. 13,14 In a study by Mattioli FP et al subtotal thyroidectomy was shown to be an adequate surgical intervention for MNG. 15 A significant number of the cases in this study were non -neoplastic thyroid lesions constituting 62.5%) of the cases.…”

Section: Discussionmentioning

confidence: 97%

Clinico-Histopathological Study of Thyroid Lesions in a Tertiary Care Center Over a Period of One Year

Urmiladevi¹,

Sravani²,

Atla³

et al. 2018

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BACKGROUND Thyroid nodules are common in clinical practice, occurring globally with wide variation in incidence and histopathological pattern related to age, sex, dietary and environmental factors. This study was undertaken to describe the spectrum, frequency, age, sex distribution and various histopathological patterns of thyroid lesions. MATERIALS AND METHODS The present study is a hospital based prospective observational study conduted for a period of one year from January 2017 to December 2017, and was conducted in the Department of Pathology, Andhra Medical College, Visakhapatnam. Tissue samples for H&E sections were fixed in 10% formalin and subjected to routine paraffin embedded processing and stained with Haematoxylin and Eosin. Various histopathological patterns were observed and compared.

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Section: Discussionmentioning

confidence: 97%

Clinico-Histopathological Study of Thyroid Lesions in a Tertiary Care Center Over a Period of One Year

Urmiladevi¹,

Sravani²,

Atla³

et al. 2018

jebmh

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“…Better yet we founded 3 (5.7%) cases of malignant tumors in the postoperative histopathological examination. In the literature the rate is estimated at about 5% [16]. The discovery of postoperative malignant lesion raises the thorny problem of reoperation, which is lived in our context as a failure of the surgery with the socio-economic repercussions.…”

Section: Discussionmentioning

confidence: 99%

Total Thyroidectomy in Multinodular Goiter: An African Experience

Ouattara¹,

Togo²,

Sankaré³

et al. 2015

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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.* Corresponding author. M. A. Ouattara et al.528

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“…According to the literature, the incidence of laryngeal edema after thyroid surgery is about 3% (58). Asphyxia caused by laryngeal edema is fatal.…”

Section: Laryngeal Edemamentioning

confidence: 99%

“…The preventive measures are as follows: (I) for patients with difficult intubation, a video-assisted laryngoscopy operation by an experienced anesthesiologist is recommended; (II) close postoperative observation to detect hemorrhage and lymphatic leakage early is essential to provide treatment promptly, which reduces the occurrence of laryngeal edema; (III) when the surgery is predicted to be prolonged, dexamethasone should be administered intraoperatively to reduce stress response; (IV) after surgery, active measures, such as inhalation of nebulized medicine for eliminating phlegm, are adopted to control respiratory tract infection and antibiotics to control infection, if necessary. In the event of laryngeal edema, steroid hormones and bronchodilators are administered to reduce stress response; also, symptomatic treatment is required (58). However, if the effects are not satisfactory, tracheotomy is recommended.…”

Section: Laryngeal Edemamentioning

confidence: 99%

Narrative review of management of thyroid surgery complications

Jin¹,

Sugitani²

2021

Gland Surg

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Currently, thyroid surgery is the most common and safe operation worldwide. However, thyroidectomy is still not free from the risks of complications and death due to the anatomical structure and physiological function particularity of the thyroid gland. Postoperative complications affect the life quality and life safety of patients after surgery. The common complications include hypoparathyroidism (HP), recurrent laryngeal nerve (RLN) injury, injury to the external branch of the superior laryngeal nerve (EBSLN), postoperative bleeding (PB), thoracic duct injury, laryngeal edema, tracheospasm, tracheal injury, and esophageal injury. A severe complication, such as dyspnea, asphyxia, or thyroid crisis, might cause the death of the patient. Therefore, every thyroid surgeon's responsibility is to remain alert and aware of the occurrence of various intraoperative and postoperative complications and exercise effective prevention and treatment. This is closely related to the advancement in thyroid disease research, the increase in local anatomy knowledge, the standardization of surgical approaches, the improvement in operating skills, the application of new technologies, and the emphasis on specialty training. In addition, many complications that effect patients are much better tolerated if the patient has appropriate expectations of what the complications are and how to treat them. Open communication between surgeon and patient optimizes the potential negative effects that complications may have on patients' quality of life. This paper discusses the prevention, recognition and therapy of intraoperative and postoperative complications in thyroid surgery.

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Clinico-Epidemiological Study and Treatment Outcome of Multinodular Goitre at A Tertiary Care Hospital

Cited by 13 publications

References 5 publications

Clinico-Histopathological Study of Thyroid Lesions in a Tertiary Care Center Over a Period of One Year

Clinico-Histopathological Study of Thyroid Lesions in a Tertiary Care Center Over a Period of One Year

Total Thyroidectomy in Multinodular Goiter: An African Experience

Narrative review of management of thyroid surgery complications

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