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Scholars Journal of Applied Medical Sciences | Volume-7 | Issue 12
Surgical Outcome of Thyroidectomy- A Study in Tertiary Care Hospital, Bangladesh
Md. Zakir Hossain, Salah Uddin Ahmmed, Shahbub Alam, Kazi Zahidul Hoque, Masumul Gani Chowdhury, Mohammed Sirazul Islam
Published: Dec. 27, 2019 | 64 59
DOI: 10.36347/sjams.2019.v07i12.045
Pages: 4048-4051
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Abstract
Background: Thyroidectomy is a common surgical procedure which has well known complications and hypocalcemia is an important complication encountered commonly. Thyroid swelling is one of the most common complaint of patients presenting to the Otolaryngology-Head and Neck surgery OPD. Depending on the diagnosis, while some of the patients are started on medical treatment, some patients undergo surgical treatment. Aim and Objective: To study the Surgical Outcome of Thyroidectomy Patients. Material and Method: The study material consisted of 100 patients with thyroid swelling who underwent elective thyroidectomy at Dept. of Otolaryngology-Head and Neck Surgery, Combined Military Hospital, Dhaka Cantonment, Bangladesh from 15th November 2017 to 14th November 2019. A detailed history was taken from all the patients. A thorough clinical examination along with examination of other systems was performed. Apart from routine laboratory tests, serum calcium, electrolyte, thyroid profile, FNAC, indirect laryngoscopy, ECG, Echo, X-ray Chest & Neck and USG of Neck & Abdomen were performed. Results: In this study the various postoperative complications following thyroid surgeries which occurred in 100 patients in the Dept. of Otolaryngology-Head and Neck Surgery, Combined Military Hospital, Dhaka Cantonment were analyzed. Patients between 20 to 60 years were included in this study. Youngest patient was 22 years old and oldest patient was 55 years old. While 81 patients in this study presented with complaint of swelling in the neck, 19 patients presented with swelling in the neck associated with pain. Total thyroidectomy outcome was the most common surgery done with 20.63% incidence of complications. The highest incidence of complications, 50% was noted with total thyroidectomy + MRND which was 50% done for papillary carcinoma. Transient hypocalcemia was the most common complication noticed in this study with incidence of 12%. Patients who developed hypocalcemia became normocalcemi