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- Title
Postoperative Complications of Thyroid Surgery: A Corroborative Study with an Overview of Evolution of Thyroid Surgery.
- Authors
Pandey, Apoorva Kumar; Maithani, Tripti; Agrahari, Alok; Varma, Arvind; Bansal, Chetan; Bhardwaj, Aparna; Singh, Virendra P.; Rathi, Sonam
- Abstract
Background: To study the frequency of postoperative complications after thyroid surgery indicated for various benign and malignant lesions and to corroborate the results in relation to the extent of surgery and a clinical overview of evolution of thyroid surgery. Materials and methods: An analytical study was carried out at a tertiary care center over a period of 3 years from January 2011 to December 2013. Data were collected from 80 patients who underwent thyroidectomies for various thyroid diseases at this center. Results: Hemithyroidectomy, isthmusectomy, subtotal, near- total, and total thyroidectomies were performed in 36 (45%), 6 (7.5%), 8 (10%), 10 (12.5%), and 20 (25%) cases respectively. The overall postoperative complication rate was 20%. Postoperative hypocalcemia and recurrent laryngeal nerve injury were the most common complications. Permanent hypocalcemia and permanent recurrent laryngeal nerve injury were observed in 3.75 and 2.5% of all operated cases respectively. The less common complications were wound hematoma, seroma formation, and superior laryngeal nerve injury. There was no mortality observed in our series. Conclusion: The overall complication rate can be minimized by operating in a bloodless field, doing a meticulous dissection, and correctly identifying and preserving recurrent and superior laryngeal nerves along with parathyroid glands, if feasible.
- Subjects
THYROID gland surgery; POSTOPERATIVE care; SURGICAL complications; THYROIDECTOMY; HEMATOMA
- Publication
International Journal of Head & Neck Surgery, 2015, Vol 6, Issue 4, p149
- ISSN
0975-7899
- Publication type
Article
- DOI
10.5005/jp-journals-10001-1245