Thyroid Surgery In Recurrent Multinodular Goitre

Kanwal Naz, Muhammad Naseem Baloch, Zahid Mehmood, Arsalna Javed, Syed Muhammad Shafqatullah, Vikram Lal Seetlani

Abstract

Objective

To evaluate the frequency of complications in re-operative thyroid surgeries for multinodular goiter (MNG) and the difficulties encountered during the procedures.

Study design

Descriptive case series.

Place & Duration of study

Department of Endocrine and General Surgery Unit 5, Jinnah Postgraduate Medical Centre Karachi, From May 2017 to April 2019.

Methodology

Patients who underwent re-operative thyroid surgery for multinodular goitre were included in the study. Patients having malignancy in histopathology of the specimen were excluded. Recurrent laryngeal nerves were identified and preserved in all cases, by identifying anatomy. Written and informed consents were taken from all patients and data was collected on pre designed form.

Results

Thirty-seven patients were re-operated for MNG. There were 30 females and 7 males. Minimum age of the females was 35 year and maximum age 45 year, while minimum age of the male was 35 year and maximum age 40 year. No Recurrent laryngeal nerve (RLN) or parathyroid gland injury were noted. One (2.70%) male patient developed symptomatic neck hematoma which was explored and hemostasis secured. One (2.70%) male patient presented with temporary hypocalcemia and temporary hoarseness of voice, while only one (2.70%) female patient presented with temporary hoarseness of voice. Temporary hypocalcemia occurred in 2 (5.40%) patients including one male and one female. Three patients (8.10%) including one male and two females had bruise on neck. There was no wound infection noted in this series.

Conclusion

Recurrent thyroid surgeries are usually safe in experienced in dedicated thyroid surgery units.

Key words

Re-operative thyroid surgery, Multinodular goiter, Thyroid diseases.