POSTOPERATIVE COMPLICATIONS IN PATIENTS UNDERGOING THYROID SURGERY
Journal
Macedonian Journal of Anaesthesia
Date Issued
2018
Author(s)
Mojsova M
Stevic M
Nedxati J
Abstract
Background and objectives: Postoperative complications from thyroid surgery are numerous
and may be shown on different levels. Some of these complications may be detrimental for patients,
so minimization of the risks should be always considered. We evaluated the postoperative complications
in patients after surgery of the thyroid gland at the Clinic for Thoracic Surgery, Skopje.
Material and method: In retrospective manner, all patients undergoing thyroid surgery
during the one-year period (1. January- 31. December 2017) were evaluated. Patients were divided
into two groups, whereas group ST included patients who underwent goiter removal and
subtotal thyroidectomy while group TT included patients in who total thyroidectomy was done.
In both groups we analyzed the demographic data and the occurrence of postoperative (in the first
48 hours) complications (stridor, hoarseness, hemorrhage, nerve dysfunction, tracheomalacia,
hypocalcemia and the need for reintubation and tracheostomy).
Results: Total data from 197 patients was evaluated. 120 patients had subtotal thyroidectomy
while total thyroidectomy had 77 patients. Postoperative complications occurred in significantly larger
number of patients in the TT group (64.9 vs. 40%). Hoarseness (8.4% vs. 18.5%), stridor (18.3%
vs. 9.2%) tracheomalacia (5% vs. 1.2%) and hematoma (2.5% vs. 3.8%) occurred in respect to the
groups. Hypocalcaemia occurred in significantly larger number of patients in TT group. Permanent
nerve injury was found in one patient in the same group and tracheotomy was done only in one patient.
Conclusion: Overall results from our study show that the complications after thyroid surgery
occur in all patients who undergo thyroid surgery. However, more severe complications and
outnumbered are complications in patients who undergo total thyroidectomy.
and may be shown on different levels. Some of these complications may be detrimental for patients,
so minimization of the risks should be always considered. We evaluated the postoperative complications
in patients after surgery of the thyroid gland at the Clinic for Thoracic Surgery, Skopje.
Material and method: In retrospective manner, all patients undergoing thyroid surgery
during the one-year period (1. January- 31. December 2017) were evaluated. Patients were divided
into two groups, whereas group ST included patients who underwent goiter removal and
subtotal thyroidectomy while group TT included patients in who total thyroidectomy was done.
In both groups we analyzed the demographic data and the occurrence of postoperative (in the first
48 hours) complications (stridor, hoarseness, hemorrhage, nerve dysfunction, tracheomalacia,
hypocalcemia and the need for reintubation and tracheostomy).
Results: Total data from 197 patients was evaluated. 120 patients had subtotal thyroidectomy
while total thyroidectomy had 77 patients. Postoperative complications occurred in significantly larger
number of patients in the TT group (64.9 vs. 40%). Hoarseness (8.4% vs. 18.5%), stridor (18.3%
vs. 9.2%) tracheomalacia (5% vs. 1.2%) and hematoma (2.5% vs. 3.8%) occurred in respect to the
groups. Hypocalcaemia occurred in significantly larger number of patients in TT group. Permanent
nerve injury was found in one patient in the same group and tracheotomy was done only in one patient.
Conclusion: Overall results from our study show that the complications after thyroid surgery
occur in all patients who undergo thyroid surgery. However, more severe complications and
outnumbered are complications in patients who undergo total thyroidectomy.
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