TO STUDY THE OUT COMES OF SURGICAL MANAGEMENT IN TOXIC MULTINODULAR GOITER – ORIGINAL ARTICLE

DR.B.TATARAO; DR.A.SUVARCHALA; DR. THABASSUM AURA

Volume : VII, Issue : IV, April - 2017

TO STUDY THE OUT COMES OF SURGICAL MANAGEMENT IN TOXIC MULTINODULAR GOITER – ORIGINAL ARTICLE

Dr. B. Tatarao, Dr. A. Suvarchala, Dr. Thabassum Aura

Abstract :

AIMS& OBJECTIVES:

1. Study the out comes of subtotal , near & total thyroidectomy as treatment of choice for toxic multinodular goiters.

MATERIALS & METHODS:

Over the last 5 years 20010 – 2015 in a prospective review the demographic and clinical data of patients operated for toxic multinodular goiters in the department was entered into a predesigned proforma and analyzed. The objective of the study is to review the results of subtotal , near–total & total thyroidectomy as treatment for multinodular toxic goiters.

Results: Total 58 patients 4 males (6.8%) and 54 females (93.1%) with male: female ratio of 1:5 and the mean age of 40–50± 10.9 (range, 20–70 years), underwent thyroidectomy for toxic multinodular goiters. The duration of symptoms was 1–10 years. There was no case of permanent recurrent laryngeal nerve palsy or permanent hypocalcemia. Transient hypocalcemia occurred in 8 cases(13.7%) patients . There were 5 cases of seroma (8.6%) and no postoperative mortality. The mean hospital stay was 8.6 ± 2.34 (range 7–14 days). There was no disease recurrence over a mean follow–up of 20.7 (range 2–48) months.

Conclusion: In this study, the only criterion for the type of surgery chosen was surgeon preference and experience based on evaluation of the gland.The main indications of surgery in Toxic MNG are large goitre, irregular control of thyrotoxicosis, pressure effect symptoms, and patients preference. Total thyroidectomy is the surgery of choice for toxic MNG because it results in rapid, reliable resolution of hyperthyroidism on removal of goitre, requires no retreatment, removes any coexisting malignancy