Dr. Tariq Jamil, Dr. Ahsan-ur-Rehman, Dr. Irfan Ahmad
Objective: To compare the post-operative complications between autoimmune thyroid disease and non-autoimmune thyroid disease undergoing total thyroidectomy. Material and methods: This prospective study was conducted at Department of Surgery Nishtar Hospital, Multan from November 2018 to May 2019 over the period of 6 months. Total 207 patients with benign thyroid disease necessitate surgery either male or female were selected. Postoperative complications after total thyroidectomy was assessed. Results: Total 207 patients with benign thyroid diseases were selected and total thyroidectomy was performed in selected. Patients were divided into two groups A (autoimmune thyroid disease) & B (non-autoimmune thyroid disease) based on postoperative histopathological findings. Mean age in group A was 40.15±10.2 years and in group B was 42.6±9.6 years. The wound infection was 1.4% and 1.5% in both groups respectively with no significant difference among studied groups (p=0.58) The postoperative bleeding was 2.7% and 1.5% in both groups with no significant difference (p=0.442). Conclusion: Results of the study showed that most of the patients found with non-autoimmune thyroid disease. The most common histopathological diagnosis postoperatively was simple multinodular goiter. Statistically insignificant difference of wound infection, bleeding, temporary vocal cord palsy and permanent vocal cord palsy was found between the both groups. Keywords: ATD, Thyroidectomy, Vocal cord palsy, Hypoparathyroidism