Comparison of the Results of Subtotal Thyroidectomy with Hartley-Dunhill Operation in Surgical Patients
Background: Thyroid resection surgeries used to treat many thyroid diseases may be performed as a total or subtotal thyroidectomy. This study aimed to compare two methods of subtotal thyroidectomy (omission from both sides) with the Hartley-Dunhill procedure in patients with thyroid diseases.Methods...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Kerman University of Medical Sciences
2022-03-01
|
| Series: | Journal of Kerman University of Medical Sciences |
| Subjects: | |
| Online Access: | https://jkmu.kmu.ac.ir/article_91894_c30bf80dab4046cdbd92a3175591233d.pdf |
| _version_ | 1827911893578153984 |
|---|---|
| author | Mohsen Eshraghi Mostafa Vahedian Amrollah Salimi Enayatollah Noori Sediegheh Mossavi |
| author_facet | Mohsen Eshraghi Mostafa Vahedian Amrollah Salimi Enayatollah Noori Sediegheh Mossavi |
| author_sort | Mohsen Eshraghi |
| collection | DOAJ |
| description | Background: Thyroid resection surgeries used to treat many thyroid diseases may be performed as a total or subtotal thyroidectomy. This study aimed to compare two methods of subtotal thyroidectomy (omission from both sides) with the Hartley-Dunhill procedure in patients with thyroid diseases.Methods: In this retrospective study, the records of all patients who underwent thyroidectomy between 2017 and 2018 were evaluated. Demographic information (age and sex) of patients, initial diagnosis and pathology, type of surgery, serum calcium level on the fourth day after surgery, parathyroid nerve damage, and hematoma were collected using patients’ files. Finally, complications in the two groups were measured.Results: A total number of 100 patients, including 67 female (67%) and 33 male (33%) individuals, were studied. The mean age of patients in the Hartley-Dunhill subtotal thyroidectomy group was 12.65±40.75 years and in the non-Hartley-Dunhill surgery group was 12.86±38.91 years. There was no association between two groups in terms of indications of surgery (P=0.235), postoperative pathology (P=0.754), postoperative hematoma (P=0.11), postoperative recurrence (P=0.714), and the postoperative calcium level (P=0.816). However, the difference in recurrent laryngeal nerve injury occurrence was statistically significant between the groups (P=0.03).Conclusion: Findings of this study showed that there was no significant difference between the groups regarding complications of the surgery, except nerve damage, and the recurrence rate in both methods was clinically pretty low. |
| first_indexed | 2024-03-13T02:08:45Z |
| format | Article |
| id | doaj.art-0c87b0a1c94c49d6af6bc140010f463b |
| institution | Directory Open Access Journal |
| issn | 2008-2843 |
| language | English |
| last_indexed | 2024-03-13T02:08:45Z |
| publishDate | 2022-03-01 |
| publisher | Kerman University of Medical Sciences |
| record_format | Article |
| series | Journal of Kerman University of Medical Sciences |
| spelling | doaj.art-0c87b0a1c94c49d6af6bc140010f463b2023-07-01T05:10:45ZengKerman University of Medical SciencesJournal of Kerman University of Medical Sciences2008-28432022-03-0129215816210.22062/jkmu.2022.9189491894Comparison of the Results of Subtotal Thyroidectomy with Hartley-Dunhill Operation in Surgical PatientsMohsen Eshraghi0Mostafa Vahedian1Amrollah Salimi2Enayatollah Noori3Sediegheh Mossavi4Department of Surgery, School of Medicine, Qom University of Medical Sciences, Qom, IranDepartment of Family and Community Medicine, School of Medicine, Qom University of Medical Sciences, Qom, IranDepartment of Surgery, School of Medicine, Qom University of Medical Sciences, Qom, IranDepartment of Surgery, School of Medicine, Qom University of Medical Sciences, Qom, IranDepartment of Surgery, School of Medicine, Qom University of Medical Sciences, Qom, IranBackground: Thyroid resection surgeries used to treat many thyroid diseases may be performed as a total or subtotal thyroidectomy. This study aimed to compare two methods of subtotal thyroidectomy (omission from both sides) with the Hartley-Dunhill procedure in patients with thyroid diseases.Methods: In this retrospective study, the records of all patients who underwent thyroidectomy between 2017 and 2018 were evaluated. Demographic information (age and sex) of patients, initial diagnosis and pathology, type of surgery, serum calcium level on the fourth day after surgery, parathyroid nerve damage, and hematoma were collected using patients’ files. Finally, complications in the two groups were measured.Results: A total number of 100 patients, including 67 female (67%) and 33 male (33%) individuals, were studied. The mean age of patients in the Hartley-Dunhill subtotal thyroidectomy group was 12.65±40.75 years and in the non-Hartley-Dunhill surgery group was 12.86±38.91 years. There was no association between two groups in terms of indications of surgery (P=0.235), postoperative pathology (P=0.754), postoperative hematoma (P=0.11), postoperative recurrence (P=0.714), and the postoperative calcium level (P=0.816). However, the difference in recurrent laryngeal nerve injury occurrence was statistically significant between the groups (P=0.03).Conclusion: Findings of this study showed that there was no significant difference between the groups regarding complications of the surgery, except nerve damage, and the recurrence rate in both methods was clinically pretty low.https://jkmu.kmu.ac.ir/article_91894_c30bf80dab4046cdbd92a3175591233d.pdfhartley-dunhillsubtotalthyroidectomy |
| spellingShingle | Mohsen Eshraghi Mostafa Vahedian Amrollah Salimi Enayatollah Noori Sediegheh Mossavi Comparison of the Results of Subtotal Thyroidectomy with Hartley-Dunhill Operation in Surgical Patients Journal of Kerman University of Medical Sciences hartley-dunhill subtotal thyroidectomy |
| title | Comparison of the Results of Subtotal Thyroidectomy with Hartley-Dunhill Operation in Surgical Patients |
| title_full | Comparison of the Results of Subtotal Thyroidectomy with Hartley-Dunhill Operation in Surgical Patients |
| title_fullStr | Comparison of the Results of Subtotal Thyroidectomy with Hartley-Dunhill Operation in Surgical Patients |
| title_full_unstemmed | Comparison of the Results of Subtotal Thyroidectomy with Hartley-Dunhill Operation in Surgical Patients |
| title_short | Comparison of the Results of Subtotal Thyroidectomy with Hartley-Dunhill Operation in Surgical Patients |
| title_sort | comparison of the results of subtotal thyroidectomy with hartley dunhill operation in surgical patients |
| topic | hartley-dunhill subtotal thyroidectomy |
| url | https://jkmu.kmu.ac.ir/article_91894_c30bf80dab4046cdbd92a3175591233d.pdf |
| work_keys_str_mv | AT mohseneshraghi comparisonoftheresultsofsubtotalthyroidectomywithhartleydunhilloperationinsurgicalpatients AT mostafavahedian comparisonoftheresultsofsubtotalthyroidectomywithhartleydunhilloperationinsurgicalpatients AT amrollahsalimi comparisonoftheresultsofsubtotalthyroidectomywithhartleydunhilloperationinsurgicalpatients AT enayatollahnoori comparisonoftheresultsofsubtotalthyroidectomywithhartleydunhilloperationinsurgicalpatients AT sedieghehmossavi comparisonoftheresultsofsubtotalthyroidectomywithhartleydunhilloperationinsurgicalpatients |