Subtotal Thyroidectomy Postoperative Complications with Unplanned Thyroid Surgery

Abstract

Background: The surgical treatment for bilateral multinodular nontoxic goiter (BMNG) is still debatable. Avoiding RLN harm during thyroid surgery if the pathology is not identified. Reduce the incidence of hypoparathyroidism by reducing the rate of parathyroid gland damage during excision. Objective: To see the complications of subtotal thyroidectomy in random thyroid surgery. Materials and Methods: This was a prospective, observational study conducted in the Department of ENT & Head- Neck surgery, Rangamati Medical College, Rangamati for a period of 2 years from January 2019 and December 2020. Total 100 patients were operated for benign and malignant thyroid disorders. This study was done to assess complications after various types of thyroid surgeries indicated for benign as well as malignant thyroid lesions. Results: Ten (10.0%) patients had transient hypocalcemia followed by 4(4.0%) had transient recurrent nerve palsy, 1(1.0%) had permanent hypocalcemia, 1(1.0%) had permanent recurrent nerve palsy and 1(1.0%) had neck hematoma. Mean weight of the resected thyroid was found 62.4±14.1 gram in euthyroidism group and 74.2±26.4 gram in hypothyroidism group. Mean proportion of weight of the thyroid remnant in total weight of the thyroid was found 5.1±2.2 percent in euthyroidism group and 3.9±2.1 percent in hypothyroidism group. Conclusion: Transient hypocalcemia, transient recurrent nerve palsy, chronic hypocalcemia, permanent recurrent nerve palsy, and neck hematoma were the most frequent postoperative complications.