Abstract
Background: One of the most commonly conducted operations by a general surgeon are thyroid surgeries. Many complications of thyroid operation are linked to metabolic disturbances or a recurrent laryngeal nerve injury. Superior laryngeal nerve injury, inflammation, weakness of airways and bleeding are other risks. Subjects and Methods: This randomized retrospective sample consists of 50 successive patients who undergo various thyroidectomy procedures and who meet the inclusion criteria after having been introduced to OPD. Results: Post-operative complications following thyroidectomy was seen in 30% of the patients with Hypocalcemia being one of the most prevalent complications postoperatively observed in 18% of the patients followed by wound infection seen in 6% of the cases studied. The frequency of hematoma at the surgical site was 2%. Recurrent Laryngeal Nerve paralysis seen in 2% of the cases and Seroma formation was reported in one individual constituting 2% of the cases. Conclusion: Effective patient surgical control is important and assists in the early detection and treatment of such complications.Careful post-operative patient monitoring ensures quick intervention and helps the patient to achieve better results.
Highlights
[1] It is correlated with different morbidities linked to the surgeon’s experience, but very low surgical morbidity levels are recorded for thyroidectomy
Thyroidectomy complications have been related to disease type, disease severity, removal methods, the surgeon’s training, and experience; [4,5,6,7] and a number of studies have shown, increase in surgeon experience correlate with decrease in post-thyroid complications. [8]
Hypocalcemia was one of the most prevalent complications postoperatively observed in 18% of the patients followed by wound infection seen in 6% of the cases studied
Summary
Thyroidectomy is a common procedure with an extremely low mortality rate. [1] It is correlated with different morbidities linked to the surgeon’s experience, but very low surgical morbidity levels are recorded for thyroidectomy. [2] Thyroid surgery is associated with few complications and no fatality. Postoperative hemorrhage, respiratory obstruction, hyperthyroid storm hypoparathyroidism and laryngeal nerve injuries are the major complications. Postoperative risks may be as minor as flap edema or as severe and life threatening as hemorrhage or respiratory obstruction. They can be prevented by way of a safe protocol and a successful preoperative planning. Thyroidectomy complications have been related to disease type, disease severity, removal methods, the surgeon’s training, and experience; [4,5,6,7] and a number of studies have shown, increase in surgeon experience correlate with decrease in post-thyroid complications. Many complications of thyroid operation are linked to metabolic disturbances or a recurrent laryngeal nerve injury. Conclusion: Effective patient surgical control is important and assists in the early detection and treatment of such complications.Careful post-operative patient monitoring ensures quick intervention and helps the patient to achieve better results
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