Volume : VII, Issue : IX, September - 2017

THE ROLE OF TOTAL THYROIDECTOMY IN MANAGEMENT OF BENIGN MULTINODULAR GOITRE

Dr. U. L. Lakshmi Narasamma, Dr. Sameer Mallampati, Dr. K. Prudhvinath, Dr. E. Vamshi Krishna

Abstract :

 BACKGROUND: Although Total Thyroidectomy is the procedure of choice in patients with Thyroid carcinoma, it has now emerged as safe option to treat patients with bilateral Benign Multinodular Goitre(BMNG) to avoid complications ( risk malignancy etc) in the remnant thyroid when subtotal  thyroidectomy is done . Aim is to review the role of total Thyroidectomy for BMNG in respect to complications.

OBJECTIVE: To assess whether the results support the hypothesis that Total Thyroidectomy is safe and considered as optimal surgical approach for treating bilateral BMNG.

METHODS: A prospective study of 94 patients admitted for Bilateral BMNG ( FNAC approved) between April 2013 to March 2016 in surgical department of KIMS Hospital Narketpally, were included in this study. Institutional ethical clearance and informed consents from patients are taken. Pre op assessment done and surgery performed. Intra and Post operative complications evaluated and analysed.

RESULTS: Majority patients (59.4%) are between 40 to 60 years of age and females with euthyroidism. 2.12% of all patients had intraoperative RLN injury and 8.5% had primary hemorrage and on average 2 to 3 parathyroids preserved in all. 14.89% developed seroma formation and 4.25% residual vocal cord paralysisand none had calcium deficiency in postoperative period. On followup no cases had recurrence/ malignancy with healthy scar and HPE confirmation. Life Long euthyroidism maintained with postoperative L Thyroxine supplementation ( cheap and good patient satisfaction). So our data also support that Total Thyroidectomy is the valuable option for treating bilateral BMNG without risk of second surgery.

CONCLUSION: Total thyroidectomy with capsular dissction can be undertaken safely with low complication rate. Data from many studies shown no significant difference in intra and postoperative complications for both Total and subtotal Thyroidectomy. So Total Thyroidectomy can be accepted as better management for bilateral BMNG.

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Article: Download PDF   DOI : 10.36106/ijar  

Cite This Article:

Dr. U.L. Lakshmi Narasamma, Dr. Sameer Mallampati, Dr. K. Prudhvinath, Dr. E. Vamshi Krishna , THE ROLE OF TOTAL THYROIDECTOMY IN MANAGEMENT OF BENIGN MULTINODULAR GOITRE, INDIAN JOURNAL OF APPLIED RESEARCH : Volume-7 | Issue-9 | September-2017

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