[Total thyroidectomy treatment of bening multinodular goiter].

Abstract

INTRODUCTION:

The treatment of benign multinodular goiter (BMNB) is a matter of ongoing debate in recent decades despite evidence that total thyroidectomy (TT) is associated with a significant reduction in disease recurrence and minimal morbidity in trained hands.

OBJECTIVE:

Determine BMNB recurrence after 10 years in 100 patients treated with TT and evaluate the technique-related complications.

DESIGN:

Prospective non randomized.

MATERIAL AND METHODS:

From March 1999 to March 2001, one hundred patients, 95 female, with an average age of 42.4 years (range 23-67) underwent TT for having a BMNB, which was confirmed by cervical ultrasound, which also served as a guide to perform fine-needle aspiration (FNA). In all cases, laryngoscopy was performed before and after post-surgical bitstream.

RESULTS:

Mean operative time was 49 minutes (range 35-58). Recurrencial recorded paralysis (1%) and five hypoparathyroidism (5%), both transient and no definitive case. All patients were discharged within 24 hours of surgery. We did not record any recurrence BMNB a follow-up period of more than 10 years.

CONCLUSION:

The TT is the treatment choice of BMNB, being an effective, safe, with low rates of complications and to avoid or significantly reduce the recurrence of this disease.

• Authors: César Palas, Facundo Álvarez, Gastón Ferreira, Luis h Gramática
• Journal: Revista de la Facultad de Ciencias Medicas (Cordoba, Argentina) (Rev Fac Cien Med Univ Nac Cordoba) Vol. 71 Issue 2 Pg. 127-32 ( 2014) ISSN: 1853-0605 [Electronic] Argentina
• Vernacular Title: Tiroidectomía total en el bocio multinodular benigno.
• PMID: 25365200 (Publication Type: English Abstract, Journal Article)

Topics

• Adult
• Aged
• Female
• Follow-Up Studies
• Goiter, Nodular (surgery)
• Humans
• Male
• Middle Aged
• Thyroidectomy (adverse effects)
• Treatment Outcome
• Young Adult