Volume : IV, Issue : II, February - 2015

TOTAL Vs.SUBTOTAL THYROIDECTOMY IN THE TREATMENT OF BENIGN THYROID DISEASE

Dr. Madhu. C. P, Dr. Sudhir. S, Dr. Sreeharsha M. V, Dr. Dileep

Abstract :

Thyroidectomy for benign diseases is the most commonly performed endocrine surgical procedure worldwide.Bilateral subtotal thyroidectomy has been the preferred operation for benign thyroid disorders for many years.Despite increase in number of retrospective reports recommending the use of total thyroidectomy for bilateral thyroid diseases, surgeons continue to debate whether the potential benefits of this procedure outweigh the potential complications. Through this study the various factors influencing total thyroidectomy and bilateral subtotal thyroidectomy with reference to a benign thyroid disease will be assessed and the pros and cons will be evaluated such as recurrence rate, need for revision surgery, complications (postoperative morbidity rate, bleeding, hypoparathyroidism and recurrent laryngeal nerve injury). AIMS AND OBJECTIVES OF THE STUDY: To compare the outcomes of Subtotal versus total thyroidectomy for benign bilateral thyroid disease in terms of: •Recurrence rate •Need for revision surgery •complications SOURCE OF DATA: •Adult patients admitted in JSS hospital Mysore satisfying the inclusion and exclusion criteria during the period of study: October 2012-October 2014 will be taken for study after taking informed and written consent. TYPE OF STUDY: •Comparative and exploratory study SAMPLE SIZE: •Group 1: 15 patients undergoing total thyroidectomy for benign bilateral thyroid disease satisfying the inclusion and exclusion criteria •Group 2: 15 patients undergoing subtotal thyroidectomy for benign bilateral thyroid disease satisfying the inclusion and exclusion criteria. SAMPLING TECHNIQUE: •Purposive sampling technique CONCLUSION: •It was found that there was no significant difference in the rate of early or late complications in both the groups and hence both can be advocated as treatment for benign thyroid diseases considering patient factors as well as long term compliance of patient for medication. •In our study there was no recurrence or need for revision surgery in the subtotal thyroidectomy group and this could not be adequately followed up possibly due to the short follow up time frame. •There were no mortalities or significant rate of long term complications in our study.

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Article: Download PDF   DOI : 10.36106/ijsr  

Cite This Article:

Dr.Madhu.C.P,Dr.Sudhir.S,Dr.Sreeharsha M.V, Dr.Dileep TOTAL Vs.SUBTOTAL THYROIDECTOMY IN THE TREATMENT OF BENIGN THYROID DISEASE International Journal of Scientific Research, Vol : 4, Issue : 2 February 2015

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