Total versus subtotal thyroidectomy for the management of benign multinodular goiter in an endemic region

Çolak, Tahsin; Akça, Tamer; Kanık, Arzu; Yapıcı, Davud; Aydın, Serdar

doi:10.1111/j.1445-1433.2004.03139.x

Cited by 63 publications

(76 citation statements)

References 25 publications

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“…In addition, surgical techniques for benign thyroidal disorders have improved greatly over the past several years and postoperative morbidity and mortality rates have further decreased. Life-threatening complications, such as postoperative bleeding, hematoma, compression of air passages or suffocation, can be avoided in most patients (Colak et al, 2004;Müller et al, 2001). In the light of these improvements, the value of drainage in thyroid surgery might be newly questioned.…”

Section: Resultsmentioning

confidence: 99%

“…In contrast, drains might increase the rate of surgical wound infections (Ariyanayagam et al, 1993;Tabaqchali et al, 1999), contribute to the discomfort of the patients , prolong the length of the hospital stay and thereby increase the cost (Suslu et al, 2006), and deteriorate the cosmetic result (Clark et al, 2002). Since current management of benign thyroid disorders has favored total lobectomy or thyroidectomy (Colak et al, 2004), which obviously lowers the postoperative bleeding risk, the usefulness of drains has become increasingly questioned.…”

Section: Introductionmentioning

confidence: 99%

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Drainage after total thyroidectomy or lobectomy for benign thyroidal disorders

Çolak

Akça

Türkmenoğlu

et al. 2008

J. Zhejiang Univ. Sci. B

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Abstract:Objective: This prospective randomized clinical trial was conducted to evaluate the necessity of drainage after total thyroidectomy or lobectomy for benign thyroidal disorders. Methods: A total of 116 patients who underwent total thyroidectomy or lobectomy for benign thyroidal disorders were randomly allocated to be drained or not. Operative and postoperative outcomes including operating time, postoperative pain assessed by visual analogue scale (VAS), total amount of intramuscular analgesic administration, hospital stay, complications, necessity for re-operation and satisfaction of patients were all assessed. Results: The mean operating time was similar between two groups (the drained and non-drained groups). The mean VAS score was found to be significantly low in the non-drained group patients in postoperative day (POD) 0 and POD 1. The mean amount of intramuscular analgesic requirement was significantly less in the non-drained group. One case of hematoma, two cases of seroma and three cases of transient hypoparathyroidism occurred in the non-drained group, whereas one case of hematoma, two cases of seroma, two cases of wound infections and two cases of transient hypoparathyroidism occurred in the drained group. No patient needed re-operation for any complication. The mean hospital stay was significantly shorter and the satisfaction of patients was superior in the non-drained group. Conclusion: These findings suggest that postoperative complications cannot be prevented by using drains after total thyroidectomy or lobectomy for benign thyroid disorders. Furthermore, the use of drains may increase postoperative pain and the analgesic requirement, and prolong the hospital stay. In the light of these findings, the routine use of drains might not be necessary after thyroid surgery for benign disorders.

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Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Drainage after total thyroidectomy or lobectomy for benign thyroidal disorders

Çolak

Akça

Türkmenoğlu

et al. 2008

J. Zhejiang Univ. Sci. B

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“…During this subsequence surgery, the incidence of complications such as serious indemnifies to recurrent laryngeal nerve (RLN) and parathyroid and near organs is higher [18,19]. Otherwise, in TT method, the risk of repeated surgery and its complication decreases in large scale and it may be the prefer approach [20]. The objective of this study is describing the complication rates of total thyroidectomy in MNG treatment.…”

Section: Introductionmentioning

confidence: 99%

Treatment Outcome of Total Thyroidectomy for Multinodular Goiter

Toluee

Hedayati-Emami

Barzegar-Savasari

et al. 2015

Zahedan J Res Med Sci

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Background:In cosmetic problems, compressive symptoms, toxicity and suspicion of malignancy, the best choice of multinodular goiter treatment are surgery. There are several surgical methods. Here we managed to describe the results of total thyroidectomy method for multi nodular goiter surgeries. Patients and Methods: In this cross sectional study, from January 2009 to January 2011, 101 included patients with multi nodular goiter underwent total thyroidectomy. Outcome assessment was performed for two weeks, 1 month, 2 months, 10 months and 20 months after surgery for each patient. All data were analyzed with using SPSS-19 software. Results: Of 101 included cases, with mean age of 47.1 ± 12.9 years, 10 cases were male and 91 cases were female. Bilateral gland involvement showed in 88.11%. The fine needle aspiration results were negative for malignancy in 41.6% of patients and were indeterminate and suspicious in 53.5% and 5% of cases. Transient recurrent laryngeal nerve palsy was observed in only one case. Transient hypocalcaemia showed up in 25 patients. Incidental malignancy was determined in 15.84% of patients: one patient with medullary carcinoma, two cases with folicullar carcinoma and 13 patients with papillary carcinoma. All these cases were female and had been presented bilateral involvement of multi nodular goiter. No recurrence appeared. Conclusions: We believe that, despite the higher rate of post-operative complications, total thyroidectomy will be more beneficial in the surgical treatment of benign thyroid disorders.

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“…It was thought to be a safe procedure. Risk of recurrent goiter after subtotal thyroidectomy, which ranges from 3% to 43 % (1)(2)(3) . Suppression of TSH L-thyroxin therapy can be used to prevent the recurrence and is useful only in 30 % of patients (1,(4)(5)(6)(7)(8)(9) .…”

Section: Introductionmentioning

confidence: 99%

“…Risk of recurrent goiter after subtotal thyroidectomy, which ranges from 3% to 43 % (1)(2)(3) . Suppression of TSH L-thyroxin therapy can be used to prevent the recurrence and is useful only in 30 % of patients (1,(4)(5)(6)(7)(8)(9) . Reoperative thyroid surgery is indicated in case of recurrent unilateral or multi nodular goiter, when it is associated with compression or in case of suspected malignancy, and in recurrent thyrotoxicosis (7,10) .…”

Section: Introductionmentioning

confidence: 99%