Comparison of the results of total thyroidectomy and Dunhill operation in surgical treatment of multinodular goiter

Mobayen, Mohammadreza; Baghi, Iraj; Farzan, Ramyar; Talebi, Ali; Maleknia, Seyed Adel; Paknejad, Seyyedeh Aisa

doi:10.1007/s12262-015-1213-z

Cited by 9 publications

(4 citation statements)

References 13 publications

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“…12 Similarly, Mobayen et al in their study found an incidence of 2.8% patients developing seroma after surgery. 17 The major limitations of our study were the small number of cases (n=50), single institutional study and short follow up period.…”

Section: Discussionmentioning

confidence: 90%

Clinico-pathological features and surgical management of multinodular goitre

2023

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Background: Enlargement of thyroid gland is the most common manifestation of thyroid disease. Most of the patients come from endemic zones. This study was designed to study various aspects of clinicopathological presentations of multinodular goitre and their optimal surgical management. Methods: This was a prospective observational study of 50 cases of multinodular goitre with an adequate follow up to look for epidemiological parameters such as clinical presentation, pathological behaviour and modality of management including post operative complications over a period of 02 years. Results: Females were predominant in number over males with a sex ratio 24:1. FNAC was done for all patients and was found to be 100% accurate. Majority of the patients were treated with total thyroidectomy (56%), followed by hemithyroidectomy (44%). Complications included wound infection (4%) and seroma formation (4%). Conclusions: Multi nodular goitre is more common in females and majority are in the age group of 31-39 years. The chief complaint in majority of the patients is swelling in front of the neck and few patients with pressure symptoms. FNAC is an invaluable, minimally invasive, highly accurate and cost-effective procedure for preoperative diagnosis and management of multinodular goitre. The main indication for surgery in MNG is cosmetic problem and total thyroidectomy is the ideal treatment of MNG with minimal complications.

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Section: Discussionmentioning

confidence: 90%

Clinico-pathological features and surgical management of multinodular goitre

2023

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“…This is probably related to a large number of iodine-deficient areas as well as delay in seeking surgical care. 13,14 There was one case of Pendred syndrome where a young female patient had MNG along with bilateral deafness since birth.…”

Section: Discussionmentioning

confidence: 99%

Outcome of one year’s experience of thyroid surgery in a high volume center.

Asghar

Kaleem

Afzal

et al. 2020

TPMJ

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Objectives: This study was performed to take an overview of the modes of presentation of these disorders, demographic factors of presenting patients, procedures to deal with these disorders and complications associated with them in our surgical ward. Study Design: Cross Sectional Study. Setting: Department of North Surgery, Mayo Hospital Lahore Pakistan. Period: September 2018 to September 2019. Material & Methods: All adult patients of either gender who presented with benign or malignant thyroid disorders and were managed surgically during the study period were included. The data was recorded on a pre-designed proforma maintained at the department. Results: Out of 156 patients, there were 146(93.6%) females and 10(6.4%) males. The most commonly performed procedure was total thyroidectomy i.e 102 (65.3%) while hemi thyroidectomies being 41 (26.1%). We performed 4 neck dissections in this time period for malignancies. The mean hospital stay ranged from 1-12 days with a mean of 2.88±1.99 days. There was no in-hospital mortality. Temporary hypocalcemia was the most common early complication found in 32(20.5%) patients. Conclusion: Thyroid surgery is a safe procedure to be performed for teaching purposes in a high volume unit like ours with complication rates reaching near zero.

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“…Substernal goiter, defined as the positioning of the thyroid tissue under manubriosternal junction, has an incidence of 0.2-4.5% [1]. Recurrent substernal goiter, regeneration of thyroid tissue after thyroid gland surgery, has an incidence of 2.3% [2].…”

Section: Introductionmentioning

confidence: 99%

Kalp cerrahisi geçirmiş olan substernal guatr olgusunda zor entübasyon yönetimi

Lafçı

Gökçınar

Camgoz

et al. 2018

Turkish Journal of Clinics and Laboratory

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Redo thyroid surgery is difficult for several reasons and may be complicated. In some cases airway management can be more difficult unexpectedly. In this situation, special airway devices may be required. Here we present a case of a 67-yearold female patient who suffer from recurrent substernal goiter and has dyspnea, cough, and fatigue. In this case, difficult intubation was managed with a gum elastic bougie that was placed into the classical laryngeal mask airway. Laryngeal mask airway was removed while gum elastic bougie was left in place to guide endotracheal tube insertion. The endotracheal tube was slipped over gum elastic bougie. In cases of difficult intubation, endotracheal intubation can be achieved with the guidance of gum elastic bougie placed through the laryngeal mask airway.

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Comparison of the results of total thyroidectomy and Dunhill operation in surgical treatment of multinodular goiter

Cited by 9 publications

References 13 publications

Clinico-pathological features and surgical management of multinodular goitre

Clinico-pathological features and surgical management of multinodular goitre

Outcome of one year’s experience of thyroid surgery in a high volume center.

Kalp cerrahisi geçirmiş olan substernal guatr olgusunda zor entübasyon yönetimi

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