Dr Hanzla Amir, Dr. Muhammad Umar Ikram, Dr Saima Fareed
Objective: To survey the adequacy and wellbeing of absolute thyroidectomy for favorable multi-nodular goiter. Design of study: Descriptive study Place and Duration of Study: The investigation was led in the Department of General Surgery, LGH, Lahore from February 2014 to January 2019. Materials and Methods: A sum of 66 patients with reciprocal amiable multi-nodular goiter (61 females and 5 guys) experienced all out thyroidectomy. Sixty two cases were euthyroid while 4 had hyperthyroidism. Careful dismemberment methods included distinguishing both intermittent laryngeal nerves all through their course, verifying of parathyroid organs with their unblemished blood supply and ligation of second rate thyroid corridor branches near the thyroid container. Every one of the patients was assessed post operatively for indications of intermittent laryngeal nerve damage and hypoparathyroidism and different difficulties. All patients were put on thyroxin substitution treatment post-operatively and were pursued for 9 to one year. Results: There was no damage to the intermittent laryngeal nerves. One instance of damage to outer laryngeal nerve was found. Transient hypocalcaemia happened in 4 patients without perpetual hypoparathyroidism. All instances of transient hypocalcaemia recouped completely inside 3 months. Four patients had mysterious threat analyzed post-operatively on histo-pathology. Conclusions: In experienced hands, all out thyroidectomy is a powerful and moderately safe task for considerate multi-nodular goiter and its intricacy rate is same as that of a sub-complete thyroidectomy. Keywords: Occult malignancy, multinodular goiter, thyroidectomy.