Gomathi, J (2013) A study of incidence of early complications in thyroid surgery. Masters thesis, Madurai Medical College, Madurai.
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Abstract
In the Present study 156 patients were observed, 138 were females and 18 were males. Females were more commonly affected by thyroid diseases. Male and Female ratio was 1:8. 60% of thyroid disease occurred during the age between 20-40 years. • The incidence of early postoperative complications were the following: The incidence of haemorrhage with respiratory obstruction was 1.28%. The incidence of neural complications, recurrent laryngeal nerve and superior laryngeal nerve palsy were 3.21% and 0.64% respectively. Incidence of hypocalcemia was 5.13%, wound infections was1.92%, thyroid storm was 0.64% and incidence of seroma was 2.56%. • The incidence of complications in various thyroid disorders were the following: 35% of complications were observed in Toxic goiter followed by 21.87% in Multinodular goiter, 20% in colloid goiter and 16.66% in carcinoma thyroid. There was no reported complication in solitary nodular goiter. The incidence of complications in various thyroidectomy procedures were following: • Haemorrhage with airway obstruction was documented only in 4.44 % of cases following total thyroidectomy. • Postoperative hypocalcemia was documented in 11.11% of cases following total thyroidectomy and in 8.33% of cases following near total thyroidectomy. • Recurrent laryngeal nerve palsy was documented in 6.66% of cases following total thyroidectomy and in 5.55% of cases following near total thyroidectomy. • The superior laryngeal nerve palsy was documented only in 2.22% of cases following total thyroidectomy. • Thyroid crisis was documented only in 2.22% of cases following total thyroidectomy. • Seroma was documented in 8.33% of cases following near-total thyroidectomy and in 5.26% of cases following subtotal thyroidectomy. • The wound infection was documented in 5.55% of cases following near total thyroidectomy and in 5.26% of cases following subtotalthyroidectomy. CONCLUSION: The following conclusions are drawn from this study: 1. Incidence of hypocalcemia is a relatively common complication than recurrent laryngeal nerve injury after thyroidectomy. 2. Relatively more complications occur after Total Thyroidectomy than neartotal, subtotal thyroidectomy. No complications occurred after hemithyroidectomy. 3. Multi nodular goiter, Toxic multi nodular goiter, Carcinoma thyroid are risk factors for post operative complication. 4. Post operative complications can be reduced by a careful clinical evaluation, a thorough knowledge of the surgical anatomy, a systematic dissection of parathyroid gland and recurrent laryngeal nerve during the surgery.
| Item Type: | Thesis (Masters) |
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| Uncontrolled Keywords: | incidence ; early complications ; thyroid surgery. |
| Subjects: | MEDICAL > General Surgery |
| Depositing User: | Devi S |
| Date Deposited: | 05 Jun 2018 01:46 |
| Last Modified: | 05 Jun 2018 02:32 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/8196 |
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