ResearcherID - CLICK HERE Scientific Journal Impact Factor (SJIF-2020) - CLICK HERE

A DESCRIPTIVE RESEARCH TO ESTIMATE WELLBEING AND ADEQUACY OF ABSOLUTE THYROIDECTOMY FOR MULTINODULAR GOITRE

Dr Mahroona Fatima Khalid, Dr Qasim Anwar, Dr Qurat-ul-ain

Objective: To survey the adequacy and wellbeing of absolute thyroidectomy for favorable multi-nodular goiter. Materials and Methods: This descriptive research was carried out at Services Hospital, Lahore from February 2017 to October 2018. 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 postoperatively 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 9 to a year. Results: There was no damage to the intermittent laryngeal nerves. One instance of damage to the outer laryngeal nerve was found. Transient hypocalcemia happened in 4 patients without perpetual hypoparathyroidism. All instances of transient hypocalcemia recouped completely inside 3 months. Four patients had a mysterious threat analyzed post-operatively on histopathology. Conclusions: In experienced hands, all out thyroidectomy is a powerful and moderately safe task for considerate multi-nodular goiter and its intricacy rate is the same as that of a sub-complete thyroidectomy. Keywords: Occult Malignancy, Multinodular Goiter, Thyroidectomy.

FULL TEXT