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A fifteen year experience of total thyroidectomy for the management of simple multinodular goitres in a low medium income country
Introduction: Total thyroidectomy as a treatment for simple multinodular goitre is not well recognised in most centres in low middle income countries. Methods: This paper is a retrospective review of outcomes of total thyroidectomy for simple multinodular goitres in the last fifteen years in a te...
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2016
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| LEADER | 00000njm a2000000a 4500 | ||
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| 001 | oai:repository.ui.edu.ng:123456789/12658 | ||
| 042 | |a dc | ||
| 720 | |a Afolabi, A. O. |e author | ||
| 720 | |a Ayandipo, O. O. |e author | ||
| 720 | |a Afuwape, O. O. |e author | ||
| 720 | |a Ogundoyin, O. A. |e author | ||
| 260 | |c 2016 | ||
| 520 | |a Introduction: Total thyroidectomy as a treatment for simple multinodular goitre is not well recognised in most centres in low middle income countries. Methods: This paper is a retrospective review of outcomes of total thyroidectomy for simple multinodular goitres in the last fifteen years in a tertiary hospital in Nigeria. Results: A total of 652 thyroidectomies were done from January 2001 to December 2015. Simple multinodular goitres were indication for a total thyroidectomy in 447 patients (68.6%) with a male to female ratio of 1:6. Postoperative complications were hypocalcaemia in 22 (4.9%), unilateral recurrent laryngeal nerve palsy in 13 (2.8%) and haemorrhage in 2 patients. Others were seroma and cellulitis. Tracheostomy was required in 35 (5.8%) patients but none was permanent. Conclusion: Total thyroidectomy is a relatively safe treatment option for patients who have simple multinodular goitre. It provides a permanent cure with a low postoperative morbidity risk. The burden of replacement l-thyroxine needs to be discussed with the patients. | ||
| 024 | 8 | |a 0038-2361 | |
| 024 | 8 | |a ui_art_afolabi_fifteen_2016 | |
| 024 | 8 | |a South African Journal of Surgery 54(4), 40-45 | |
| 024 | 8 | |a https://repository.ui.edu.ng/handle/123456789/12658 | |
| 653 | |a Total thyroidectomy | ||
| 653 | |a Simple multinodular goitre | ||
| 653 | |a Postoperative complications | ||
| 653 | |a Hypocalcaemia | ||
| 653 | |a Recurrent laryngeal nerve palsy | ||
| 245 | 0 | 0 | |a A fifteen year experience of total thyroidectomy for the management of simple multinodular goitres in a low medium income country |