Post-thyroidectomy complications in southwestern Saudi Arabia: a retrospective study of a 6-year period
BACKGROUND: Thyroidectomy is the surgical removal of all or part of the thyroid gland for non-neoplastic and neoplastic thyroid diseases. Major postoperative complications of thyroidectomy, including recurrent laryngeal nerve injury, hypocalcemia, and hypothyroidism, are not infrequent. OBJECTIVE: S...
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| Format: | Article |
| Language: | English |
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King Faisal Specialist Hospital and Research Centre
2021-11-01
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| Series: | Annals of Saudi Medicine |
| Online Access: | http://www.annsaudimed.net/doi/10.5144/0256-4947.2021.369 |
| _version_ | 1811215101704798208 |
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| author | Dauda Bawa Amal Alghamdi Hanan Albishi Nasser Al-Tufail Shashi Prabha Sharma Yasser Mohammad Khalifa Saleem Khan Mohammed Alobeid Alhajmohammed |
| author_facet | Dauda Bawa Amal Alghamdi Hanan Albishi Nasser Al-Tufail Shashi Prabha Sharma Yasser Mohammad Khalifa Saleem Khan Mohammed Alobeid Alhajmohammed |
| author_sort | Dauda Bawa |
| collection | DOAJ |
| description | BACKGROUND: Thyroidectomy is the surgical removal of all or part of the thyroid gland for non-neoplastic and neoplastic thyroid diseases. Major postoperative complications of thyroidectomy, including recurrent laryngeal nerve injury, hypocalcemia, and hypothyroidism, are not infrequent. OBJECTIVE: Summarize the frequency of surgical complications of thyroidectomy. DESIGN: Retrospective. SETTING: Secondary health facility in southwestern Saudi Arabia. PATIENTS AND METHODS: We collected data from the records of patients who were managed for thyroid diseases between December 2013 and December 2019. MAIN OUTCOME MEASURE: Complications following thyroidectomy. SAMPLE SIZE: 339 patients, 280 (82.6%) females and 59 (17.4%) males. RESULTS: We found 311 (91.7%) benign and 28 (8.3%) malignant thyroid disorders. Definitive management included 129 (38.1%) total thyroidectomies, 70 (20.6%) hemithyroidectomies, 10 (2.9%) subtotal thyroidectomies and 5 (1.5%) near-total thyroidectomies with 125 (36.9%) patients treated non-surgically. The overall complication rate was 11.3%. There were 4 (1.9%) patients with recurrent laryngeal nerve palsy, 16 (7.5%) patients with temporary hypoparathyroidism, 1 (0.5%) patient with paralysis of the external branch of the superior laryngeal nerve and 3 (1.4%) patients with wound hematoma. CONCLUSION: The rate of complications following thyroidectomy is still high. There is a need for emphasis on comprehensive measures to control the high rate of complications. LIMITATIONS: Retrospective design and no long-term follow up to monitor late complications. CONFLICT OF INTEREST: None. |
| first_indexed | 2024-04-12T06:15:40Z |
| format | Article |
| id | doaj.art-112dc8b173fe48ba9ab0cb4d74c078c6 |
| institution | Directory Open Access Journal |
| issn | 0256-4947 0975-4466 |
| language | English |
| last_indexed | 2024-04-12T06:15:40Z |
| publishDate | 2021-11-01 |
| publisher | King Faisal Specialist Hospital and Research Centre |
| record_format | Article |
| series | Annals of Saudi Medicine |
| spelling | doaj.art-112dc8b173fe48ba9ab0cb4d74c078c62022-12-22T03:44:28ZengKing Faisal Specialist Hospital and Research CentreAnnals of Saudi Medicine0256-49470975-44662021-11-0141636937510.5144/0256-4947.2021.369Post-thyroidectomy complications in southwestern Saudi Arabia: a retrospective study of a 6-year periodDauda Bawa0Amal Alghamdi1Hanan Albishi2Nasser Al-Tufail3Shashi Prabha Sharma4Yasser Mohammad Khalifa5Saleem Khan6Mohammed Alobeid Alhajmohammed7From the Department of Surgery, King Abdullah Hospital, Bisha, Asir, Saudi ArabiaFrom the Department of Surgery, King Abdullah Hospital, Bisha, Asir, Saudi ArabiaFrom the Department of Surgery, King Abdullah Hospital, Bisha, Asir, Saudi ArabiaFrom the Department of Surgery, King Abdullah Hospital, Bisha, Asir, Saudi ArabiaFrom the Department of Pathology, King Abdullah Hospital, Bisha, Asir, Saudi ArabiaFrom the Department of Surgery, King Abdullah Hospital, Bisha, Asir, Saudi ArabiaFrom the Department of Surgery, King Abdullah Hospital, Bisha, Asir, Saudi ArabiaFrom the Department of Surgery, King Abdullah Hospital, Bisha, Asir, Saudi ArabiaBACKGROUND: Thyroidectomy is the surgical removal of all or part of the thyroid gland for non-neoplastic and neoplastic thyroid diseases. Major postoperative complications of thyroidectomy, including recurrent laryngeal nerve injury, hypocalcemia, and hypothyroidism, are not infrequent. OBJECTIVE: Summarize the frequency of surgical complications of thyroidectomy. DESIGN: Retrospective. SETTING: Secondary health facility in southwestern Saudi Arabia. PATIENTS AND METHODS: We collected data from the records of patients who were managed for thyroid diseases between December 2013 and December 2019. MAIN OUTCOME MEASURE: Complications following thyroidectomy. SAMPLE SIZE: 339 patients, 280 (82.6%) females and 59 (17.4%) males. RESULTS: We found 311 (91.7%) benign and 28 (8.3%) malignant thyroid disorders. Definitive management included 129 (38.1%) total thyroidectomies, 70 (20.6%) hemithyroidectomies, 10 (2.9%) subtotal thyroidectomies and 5 (1.5%) near-total thyroidectomies with 125 (36.9%) patients treated non-surgically. The overall complication rate was 11.3%. There were 4 (1.9%) patients with recurrent laryngeal nerve palsy, 16 (7.5%) patients with temporary hypoparathyroidism, 1 (0.5%) patient with paralysis of the external branch of the superior laryngeal nerve and 3 (1.4%) patients with wound hematoma. CONCLUSION: The rate of complications following thyroidectomy is still high. There is a need for emphasis on comprehensive measures to control the high rate of complications. LIMITATIONS: Retrospective design and no long-term follow up to monitor late complications. CONFLICT OF INTEREST: None.http://www.annsaudimed.net/doi/10.5144/0256-4947.2021.369 |
| spellingShingle | Dauda Bawa Amal Alghamdi Hanan Albishi Nasser Al-Tufail Shashi Prabha Sharma Yasser Mohammad Khalifa Saleem Khan Mohammed Alobeid Alhajmohammed Post-thyroidectomy complications in southwestern Saudi Arabia: a retrospective study of a 6-year period Annals of Saudi Medicine |
| title | Post-thyroidectomy complications in southwestern Saudi Arabia: a retrospective study of a 6-year period |
| title_full | Post-thyroidectomy complications in southwestern Saudi Arabia: a retrospective study of a 6-year period |
| title_fullStr | Post-thyroidectomy complications in southwestern Saudi Arabia: a retrospective study of a 6-year period |
| title_full_unstemmed | Post-thyroidectomy complications in southwestern Saudi Arabia: a retrospective study of a 6-year period |
| title_short | Post-thyroidectomy complications in southwestern Saudi Arabia: a retrospective study of a 6-year period |
| title_sort | post thyroidectomy complications in southwestern saudi arabia a retrospective study of a 6 year period |
| url | http://www.annsaudimed.net/doi/10.5144/0256-4947.2021.369 |
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