Study of complications following various thyroidectomy procedures: a tertiary care centre experience in South India
Abstract
Introduction: Thyroid surgeries comprise one of the more commonly performed procedures by a general surgeon. Today most of the complications of thyroid surgery are related to either metabolic derangements or injury to the recurrent laryngeal nerve injury. Other complications include superior laryngeal nerve injury, infection, airway compromise, and bleeding. At present, mortality for this procedure approaches 0% and overall complication rate is less than 3%. Nonetheless, major complications of thyroidectomy (i.e. compressive hematoma, recurrent laryngeal nerve palsy and hypoparathyroidism) are still fearful complications and account for a significant percentage of medico-legal claims. Patients volume and surgical skill play an important role in reducing the risk of complications. Knowledge about the clinical profiles of thryoidectomy cases and understanding the post thyroidectomy complications are an important milestone in public health.
Aims & Objectives: This study intends to identify the incidence of the complications following various thyroidectomy surgeries performed at JSS Hospital, Mysuru and the effect of timely and prompt recognition and intervention in minimizing morbidity.
Methodology: This clinical study was conducted between October 2017 and September 2019 and included 70 consecutive patients undergoing various thyroidectomy procedures, at JSS Hospital, Mysuru. All cases were followed up for a period of 6 months.
Results: In our prospective observational study 70 cases of patients with thyroid swellings underwent various thyroidectomy procedures. The incidence of thyroid diseases is more common in females than in males.The peak age group in which patients presented to the hospital was in the 4thdecade .The most common histopathological diagnosis was Nodular Colloid Goitre.The most common surgery performed in was Total thyroidectomy in 45 cases out of 70. Transient hypocalcemia was the most common post- operative complication occurring in about 13 out of 70 cases.
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References
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