A comparative study of the incidence of complications and recurrence of the disease in both total and subtotal thyroidectomy abstract
Introduction:
Multi Nodular Goiter (MNG) is one of the most common endocrine abnormalities and is often indicated when the
thyroid is large and marked. The prevalence of this complication is estimated at 12% in adults and increases with age. Surgery is one of the multi nodular goiter treatments, but the choice of the extent of the surgery with regard to the possibility of recurrence of the disease and the incidence of postoperative complications is discussed.Methodology: This systematic review study, using authoritative articles published on scientific sites Google scholar, PubMed, Sid, Scopus, which has been reviewed and explored using a selective sampling method from 2006-2018. Have taken, collected and written.Discussion and Conclusion: According to the studies, total or subtotal surgery can be done depending on the extent of the involvement and clinical judgment of the surgery. The choice of treatment method in MNG patients is still controversial. The subtotal method has more recurrence and therefore requires re-operation and increased complications, but with fewer postoperative complications. Total thyroidectomy is associated with less recurrence but more complications. Hypokalemia is the most common (30-20%) and the most preexisting complication after total thyroidectomy, which results from a wide dissection of the lymph nodes around the neck and around the trachea. Prevention of surgical complications depends to a great extent on the precision of the surgical technique chosen. According to the studies, although there is no difference between the two techniques in terms of transient and permanent postoperative complications, but the relapse rate in the
subtotal thyroidectomy is significantly higher, so the tendency to total thyroidectomy is currently increasing. And with the advancement of surgical techniques, it can be done safely and low complications