Indications and immediate post-surgical complications of thyroidectomy: an experience from Baqiyatallah University hospital, Tehran, Iran

IntroductionThyroidectomy is one of the most prevalent performed surgeries worldwide by a variety of trained surgeons. Curing the disease and keeping the complications to a minimum has remained as a challenge for thyroid surgery. Thyroidectomy had been c onsidered as a surgery with mortality rate of about 50% before admirable effort of Theodor Kocher who reduced this rate to less than 4.5% by advocating surgical methodology So in the present study we aimed to determine indications and prevalence of immediate .post-surgical thyroidectomy complications at Baqiyatallah University hospital, Tehran, Iran Material & Methods In this cross-sectional study we retrospectively reviewed profile of patients who underwent conven : tional (transcervical) thyroidectomy between March 2013 and March 2014 at Baqiyatallah University hospital, Tehran, Iran. Patients with incomplete information, any other underlying diseases or concurrent surgery in the same hospitalization were excluded from the study. . Information on complications was .extracted from physician’s progress note and nursing assessment sheetsResults Eventually 117 (91 female and 15 male) patients with a mean age of 46±13 years underwent analysis. Multinodular goiter (MNG) was the most frequent (57%) primary impression of the study individuals followed by thyroid nodule and thyroid lymphoma with 32 (29%) and 11 (10%) patients, respectively. Only one patient had undergone surgery for cosmetic reasons by her own intention. Most (54%) of the patientshad benign and 27 (25%) patients had malignant FNA results followed by 10 (9%) inconclusive and 2(1%) unsatisfactory samples. The mean duration of surgery was 127± 58.05 minutes in study individuals. About 31% of the patients had a kind of complications after surgery. Nausea was the most frequent complication with 14 (13.1%) patientsConclusionWe found that multinodular goiter is the most prevalent final pathology of extracted thyroid specimens in study individuals. Most of the patients underwent total thyroidectomy followed by subtotal thyroidectomy. Of all patients, about one-third showed a type of immediate post-surgical complication among which .nausea was the most common

Keywords:

thyroidectomy , post-surgical complications , mortality , prevalent