IJCRR - 5(17), September, 2013
A STUDY OF COMPLICATIONS OF THYROIDECTOMY
Author: Sudarshan Babu K. G., Lakshmi Shantharam
Introduction: Thyroid surgeries are the most common endocrine surgeries performed today. This procedure has been through tremendous evolution to make it a safe procedure. In spite of improved techniques, every thyroid surgeon has come across complications associated with this surgery. This study aims to understand various complications after thyroid surgeries and the factors responsible for complications and discuss management techniques for those complications in brief. Materials and Methods: 50 patients admitted in our hospital for various thyroid surgeries were followed up from pre operative evaluation to post operative period for appearance of complications. Those with postoperative complications were followed up and managed. Results: 12% patients had transient hypoparathyroidism, 2% had permanent hypoparathyroidism, 4% had temporary RLN palsy and 2% had permanent RLN Palsy. Other rare complications were Superior laryngeal nerve palsy, hematoma, and wound infection. Conclusion: In our study, temporary hypoparathyroidism was the most common complication (12% of the patients operated). Improved surgical techniques during thyroid surgery and efficient methods of complication management have reduced the postoperative morbidity and mortality. In spite of all measures, keen observation in postoperative period is important to look for complications for early intervention.
Keywords: Thyroidectomy, Recurrent Laryngeal Nerve palsy, Hypocalcemia, Complications
Sudarshan Babu K. G., Lakshmi Shantharam. A STUDY OF COMPLICATIONS OF THYROIDECTOMY International Journal of Current Research and Review. 5(17), September, 95-101
1. Sumit Gupta, C Vasu Reddy, Shyam TC, Smriti Karki. Clinicopathological features and complications of thyroid operations: A Single centre experience. Indian J Otolaryngol Head Neck Surg (April-June) 2013; 65(2):140-145.
2. Tariq wahab khanzada, Abdul Samad, Waseem Memon, Basanth Kumar. Postthyroidectomy complications: The Hyderabad experience. J Ayub Med Coll Abbottabad 2010; 22(1): 65-68.
3. Antorio RZ, Jose Rodriguez, Jaun Riquelme, Teresa Soria, Manuel Canteras, Pascual Parrilla. Prospective study of Postoperative complications after Total Thyroidectomy for Multinodular goityers by surgeons with experience in Endocrine surgery. Ann Surg. 2004 July; 240(1): 18-25.
4. Lodovico Rosato, Nicola Avenia, Paolo Bernante, M Aurizio De Palma, Giuseppe Gulino, Pier Giorgio Nasi et al. Complications of Thyroid surgery: Analysis of a multicentric study on 14,934 patients operated on in Italy over 5 yrs. World Journal of Surgery; March 2004; Vol 2893): 271-276.
5. Shaha A, Jaffe BM. Complications of thyroid surgery performed by residents. Surgery. 1988 Dec; 104(6): 1109-14.
6. JG Fillo, LP Kowalski. Surgical Complications after thyroid surgery performed in a cancer hospital. Otolaryngology- Head and Neck Surgery. Mar 2005; Vol 132(3): 490-494.
7. Wen TS, Electron Kebebew, Quan-yang Duh, Orlo HC. Predictors of Airway Complications After Thyroidectomy for Substernal Goiter. Arch Surg.2004; 139(6): 656-660.
8. Y Erbil, U Barbaros, H Issever, I Borucu, A Salmaslioglu, O Mete et.al. Predictive factors for recurrent laryngeal N plasy and hypoparathyroidism after thyroid surgery. Clinical otolaryngology; Feb 2007; Vol 32(1): 32-37.
9. Oliver Thomusch, adreas machens, Carsten Sekulla, Michael Brauckhoff, Henning Dralle. The impact of surgical technique on postoperative hypoparathyroidism in bilateral thyroid surgery: A multivariate analysis of 5846 consecutive patients. Surgery; Feb 2003; Vol 133(2): 180-185.
10. Chung-Yau Lo, Ka-Fai Kwok, Po-Wing Yuen. A Prospective Evaluation of Recurrent Laryngeal Nerve Paralysis during Thyroidectomy. Arch Surg. 2000; 135(2): 204-207.
11. Christakis I, Constantinides VA, Tolley NS, Palazzo FF. Parathyroid Autotransplantation during Thyroid Surgery. World J Endocr Surg, Sept-Dec 2012;4(3):115-117.
12. Bellantone R, Lombardi CP, Raffaelli M, Boscherini M, Alesina PF, De Crea C et al. Is Routine supplementation therapy (Calcium with Vitamin D) useful after Total thyroidectomy? Surgery. 2002 Dec; 132(6): 1109-12.
13. Deependra NS, Amit Agarwal, Sushil Gupta, Manoj Jain. Benign thyroid Disease causing RLN Palsy. World J Endocr Surg, May-Aug 2011; 3(2):65-68.
14. Poveda MCD, Dionigi G, Sitgesserra A, Barczynski M, Angelos P, Dralle H etal. Intraoperative Monitoring of the Recurrent Laryngeal Nerve during Thyroidectomy: A Standardized Approach part 2. World J Endocr Surg 2012; 4(1): 33-40.
15. JSH Wade. Vulnerability of the recurrent laryngeal nerves at thyroidectomy. Br j Surg, 43(1955), pp 164-179.
16. Feng-Yu Chiang, ling-Feng wang, Yin-Feng Huang, ka-Wo Lee, Wen-Rei Ko.Recurrent laryngeal nerve palsy after thyroidectomy with routine identification of the recurrent laryngeal nerve. Surgery. Mar 2005; Vol.137 (3): 342- 347.
17. Ashok RS, Bernard MJ. Practical management of post thyroidectomy hematoma. Journal of Surgical Oncology. Dec 1994; Vol 57(4): 235- 238.
18. Maisie LS, Uttam KS, Dale H Rice. Safety of thyroidectomy in residency: A review of 186 consecutive cases; Nov 1995; Vol 105(11): 1173-117