Preoperative preparation of hyperthyroidism for thyroidectomy – Role of supersaturated iodine and lithium carbonate
Introduction: Thyroidectomy is effective and safe procedure for permanent cure of hyperthyroidism (HT). Iodine preparations are widely used before operation to prevent excess blood loss. Ideal regimen for refractory HT is debated. This retrospective case–control study is designed to study the effica...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2018-01-01
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| Series: | Indian Journal of Endocrinology and Metabolism |
| Subjects: | |
| Online Access: | http://www.ijem.in/article.asp?issn=2230-8210;year=2018;volume=22;issue=3;spage=392;epage=396;aulast=Nair |
| _version_ | 1819086963564609536 |
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| author | Gopalakrishnan C Nair Misha J C. Babu Riju Menon Pradeep Jacob |
| author_facet | Gopalakrishnan C Nair Misha J C. Babu Riju Menon Pradeep Jacob |
| author_sort | Gopalakrishnan C Nair |
| collection | DOAJ |
| description | Introduction: Thyroidectomy is effective and safe procedure for permanent cure of hyperthyroidism (HT). Iodine preparations are widely used before operation to prevent excess blood loss. Ideal regimen for refractory HT is debated. This retrospective case–control study is designed to study the efficacy of various regimens of preoperative preparations. Materials and Methods: Case records, anesthesia charts, and follow-up details of hyperthyroid patients undergoing thyroidectomy were reviewed and compared with an age- and sex-matched euthyroid patients operated during the same period. Iodine preparations were not used for preoperative preparation. Study group was subdivided based on preoperative regimens of anti-thyroid medications. Results: Of the 168 patients in the study group, procedure time, duration of hospital stay, and overall complication rate were high compared to euthyroid group. Operative blood loss was not high in the study group. There was no difference in rate of complications in the subgroups of the study cohort. Conclusion: Iodine preparations are not mandatory in preoperative preparation of HT. Lithium carbonate is effective in preoperative preparation of refractory HT. Rate of postthyroidectomy complications is not different in patients receiving thionamides alone or in combination with β-blocker. |
| first_indexed | 2024-12-21T21:28:36Z |
| format | Article |
| id | doaj.art-182c692781e948bf80b2b573300faf4e |
| institution | Directory Open Access Journal |
| issn | 2230-8210 |
| language | English |
| last_indexed | 2024-12-21T21:28:36Z |
| publishDate | 2018-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Endocrinology and Metabolism |
| spelling | doaj.art-182c692781e948bf80b2b573300faf4e2022-12-21T18:49:41ZengWolters Kluwer Medknow PublicationsIndian Journal of Endocrinology and Metabolism2230-82102018-01-0122339239610.4103/ijem.IJEM_3_18Preoperative preparation of hyperthyroidism for thyroidectomy – Role of supersaturated iodine and lithium carbonateGopalakrishnan C NairMisha J C. BabuRiju MenonPradeep JacobIntroduction: Thyroidectomy is effective and safe procedure for permanent cure of hyperthyroidism (HT). Iodine preparations are widely used before operation to prevent excess blood loss. Ideal regimen for refractory HT is debated. This retrospective case–control study is designed to study the efficacy of various regimens of preoperative preparations. Materials and Methods: Case records, anesthesia charts, and follow-up details of hyperthyroid patients undergoing thyroidectomy were reviewed and compared with an age- and sex-matched euthyroid patients operated during the same period. Iodine preparations were not used for preoperative preparation. Study group was subdivided based on preoperative regimens of anti-thyroid medications. Results: Of the 168 patients in the study group, procedure time, duration of hospital stay, and overall complication rate were high compared to euthyroid group. Operative blood loss was not high in the study group. There was no difference in rate of complications in the subgroups of the study cohort. Conclusion: Iodine preparations are not mandatory in preoperative preparation of HT. Lithium carbonate is effective in preoperative preparation of refractory HT. Rate of postthyroidectomy complications is not different in patients receiving thionamides alone or in combination with β-blocker.http://www.ijem.in/article.asp?issn=2230-8210;year=2018;volume=22;issue=3;spage=392;epage=396;aulast=NairGraves' diseaselithium carbonateLugol's iodinetotal thyroidectomy |
| spellingShingle | Gopalakrishnan C Nair Misha J C. Babu Riju Menon Pradeep Jacob Preoperative preparation of hyperthyroidism for thyroidectomy – Role of supersaturated iodine and lithium carbonate Indian Journal of Endocrinology and Metabolism Graves' disease lithium carbonate Lugol's iodine total thyroidectomy |
| title | Preoperative preparation of hyperthyroidism for thyroidectomy – Role of supersaturated iodine and lithium carbonate |
| title_full | Preoperative preparation of hyperthyroidism for thyroidectomy – Role of supersaturated iodine and lithium carbonate |
| title_fullStr | Preoperative preparation of hyperthyroidism for thyroidectomy – Role of supersaturated iodine and lithium carbonate |
| title_full_unstemmed | Preoperative preparation of hyperthyroidism for thyroidectomy – Role of supersaturated iodine and lithium carbonate |
| title_short | Preoperative preparation of hyperthyroidism for thyroidectomy – Role of supersaturated iodine and lithium carbonate |
| title_sort | preoperative preparation of hyperthyroidism for thyroidectomy role of supersaturated iodine and lithium carbonate |
| topic | Graves' disease lithium carbonate Lugol's iodine total thyroidectomy |
| url | http://www.ijem.in/article.asp?issn=2230-8210;year=2018;volume=22;issue=3;spage=392;epage=396;aulast=Nair |
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