Abstract
Background: Even though Total Thyroidectomy is the treatment of choice for Multinodular goiter ,thyroid cancer, many surgeon deter to do total thyroidectomy for benign thyroid diseases because of risk associated with total thyroidectomy. We prospectively analyzed 150 total thyroidectomies done for various benign thyroid diseases .We analyzed all the parameters to assess whether our result support total thyroidectomy as safe and optimal procedure for treating benign thyroid diseases
Methods: A total of 150 patients underwent total thyroidectomy between 2011-2013.We excluded patients with thyroid cancer and repeat surgery. We evaluated the indication for surgery, postoperative complication rates and local recurrence rates.
Results: 123 patients were diagnosed as euthyroidmultinodular goiter and 20 were toxic multinodular goiter and 7 were diagnosed as Graves’disease. Both temporary and permanent recurrent laryngeal nerve palsy is 0%.Temporary hypocalcaemia occurred in 15(10%) patients and there was no permanent hypoparathyroidism. Postoperative mortality is 0%
Conclusion: Total thyroidectomy is a safe and optimal procedure for benign thyroid diseases when it is indicated .Postoperative complication is similar to subtotal thyroidectomy. Total thyroidectomy avoids recurrence and malignancy risk
Keywords: Hypoparathyroidism, multinodular goiter, recurrent laryngeal nerve, Total thyroidectomy.
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Corresponding Author
Dr. M.P. Kumaran
Department of Endocrine Surgery, Madras Medical College, Chennai
DOI: https://dx.doi.org/10.18535/jmscr/v5i7.201
