Is systematic identification of all four parathyroid glands necessary during total thyroidectomy?: A prospective study

2013 ◽  
Vol 123 (9) ◽  
pp. 2324-2328 ◽  
Author(s):  
Patrick Sheahan ◽  
Rania Mehanna ◽  
Naveed Basheeth ◽  
Matthew S. Murphy
Keyword(s):  
Prospective Study ◽  
Total Thyroidectomy ◽  
Parathyroid Glands ◽  
A Prospective Study ◽  
Systematic Identification

A Prospective Study on Post-Operative Complications Following Thyroid Surgery Conducted in a Tertiary Care Hospital in Tirupati

2021 ◽  
Vol 8 (31) ◽  
pp. 2900-2905
Author(s):  
Sadhu Nagamuneiah ◽  
Gandikota Venkata Prakash ◽  
Sabitha P ◽  
Karthik Periyasamy ◽  
Sanjay Raj Kumar Reddy Madduri ◽  
...  
Keyword(s):  
Postoperative Complications ◽  
Prospective Study ◽  
Total Thyroidectomy ◽  
General Hospital ◽  
Thyroid Surgery ◽  
Complication Rate ◽  
Wound Complication ◽  
Seroma Formation ◽  
Operative Complications ◽  
A Prospective Study

BACKGROUND Thyroidectomy is a surgical procedure which is commonly performed by surgeons worldwide, but the outcome and complication rates were mainly dependent on the surgeon’s skill and experience, indication and the extent of surgery and the number of thyroid surgeries performed at that particular centre. The aim of this study was to assess the frequency of the postoperative complications after thyroid surgery in Sri Venkateswara Ramnaraian Ruiya Government General Hospital, Tirupati. METHODS A prospective study conducted on 100 patients with thyroid swelling who attended the Sri Venkateshwara Ramnaraian Ruya Government General Hospital, Tirupati. Patient age, sex, rural/urban origin, history, diagnosis, type of surgery, laboratory investigation such as complete blood, serum calcium, thyroid function test, us culture and sensitivity test in wound infections and indirect laryngoscopy for all pre-operative patients and postoperative voice change patients. Outcomes recorded as a complication of thyroid surgery within one week. RESULTS Totally 100 patients were enrolled in the study. Thyroid enlargement was more common in females (F: M =5.6:1) presenting in 3rd and 4th decades mostly with the mean age and standard deviation were 42.92 years and 13.097 years respectively. Total thyroidectomy was the most common procedure performed (44 %) followed by hemithyroidectomy (31 %), subtotal thyroidectomies (29 %) and near total thyroidectomy (5 %). On histopathological examination most common finding was multinodular goiter (54 %) followed by nodular goiter (33 %) and malignancies (10 %). The overall postoperative complication rate was 47 %. The most common postoperative complications after thyroidectomies were seroma formation in wound complication (27 %), followed by hypocalcemia (11 %), recurrent laryngeal nerve (RLN) injury (3 %), and surgical site infection (2 %). Majority of these complications were found to be associated with total thyroidectomy, female population, and in patients with age more than 30 years. CONCLUSIONS Seroma formation in wound complication is the commonest post thyroidectomy complication. Female gender, old age, and extensive thyroid surgery were associated with increased complication rate. KEYWORDS Post-Operative Complications, Thyroid Surgery

scholarly journals Use of prophylactic oral calcium after total thyroidectomy: a prospective study

2017 ◽  
Vol 61 (5) ◽  
pp. 447-454 ◽  
Author(s):  
Erwin Langner ◽  
Alfio José Tincani ◽  
André del Negro
Keyword(s):  
Prospective Study ◽  
Total Thyroidectomy ◽  
Oral Calcium ◽  
A Prospective Study

scholarly journals Risk factors of permanent hypoparathyroidism after total thyroidectomy and central neck dissection for papillary thyroid cancer: a prospective study

2020 ◽  
Vol 71 (2) ◽  
pp. 126-133
Author(s):  
Paulina Godlewska ◽  
Małgorzata Benke ◽  
Elżbieta Stachlewska-Nasfeter ◽  
Jacek Gałczyński ◽  
Bartosz Puła ◽  
...  
Keyword(s):  
Risk Factors ◽  
Thyroid Cancer ◽  
Prospective Study ◽  
Total Thyroidectomy ◽  
Neck Dissection ◽  
Central Neck Dissection ◽  
Central Neck ◽  
Permanent Hypoparathyroidism ◽  
Papillary Thyroid ◽  
A Prospective Study

Advanced age does not increase morbidity after total thyroidectomy. Result of a prospective study

2019 ◽  
Vol 217 (4) ◽  
pp. 767-771 ◽  
Author(s):  
Niki Christou ◽  
Claire Blanchard ◽  
François Pattou ◽  
Christelle Volteau ◽  
Laurent Brunaud ◽  
...  
Keyword(s):  
Prospective Study ◽  
Total Thyroidectomy ◽  
Advanced Age ◽  
A Prospective Study

scholarly journals Association between number of parathyroid glands identified during total thyroidectomy and functional parathyroid preservation

2021 ◽  
Author(s):  
Fiona Riordan ◽  
Matthew S. Murphy ◽  
Linda Feeley ◽  
Patrick Sheahan
Keyword(s):  
Vitamin D ◽  
Multivariate Analysis ◽  
Total Thyroidectomy ◽  
Parathyroid Glands ◽  
Graves Disease ◽  
Permanent Hypoparathyroidism ◽  
Academic Teaching ◽  
Postoperative Hypoparathyroidism ◽  
Academic Teaching Hospital ◽  
Systematic Identification

Abstract Purpose Systematic identification of all 4 parathyroid glands has been recommended during total thyroidectomy (TT); however, it is unclear whether this strategy necessarily translates into optimized functional parathyroid preservation. We wished to investigate the association between number of parathyroids identified intraoperatively during TT, and incidence of incidental parathyroidectomy, and postoperative hypoparathyroidism. Methods Retrospective review of prospectively maintained database of 511 consecutive patients undergoing TT at an academic teaching hospital. The association between number of parathyroid glands identified intraoperatively and incidence of biochemical hypocalcaemia (defined as any calcium < 2 mmol/L n first 48 h after surgery), symptomatic hypocalcaemia; permanent hypoparathyroidism (defined as any hypocalcaemia or need for calcium or vitamin D > 6 months after surgery), and incidental parathyroidectomy, was investigated. The association between number of parathyroid glands visualized and postoperative parathyroid hormone (PTH) levels was investigated in a subset of 454 patients. Results Patients in whom a greater number of parathyroids had been identified had a significantly higher incidence of biochemical and symptomatic hypocalcaemia, and significantly lower postoperative PTH levels, than patients with fewer glands identified. There were no significant differences in incidence of permanent hypoparathyroidism or incidental parathyroidectomy. On multivariate analysis, malignancy, Graves disease, and identification of 3–4 parathyroids were independent predictors of biochemical hypocalcaemia. For symptomatic hypocalcaemia, identification of 2–4 parathyroids, and identification of 3–4 parathyroids, were significant. Conclusions Systematic identification of as many parathyroid glands as possible during TT is not necessary for functional parathyroid preservation.

scholarly journals Solitary nodule thyroid: diagnosis and management

2017 ◽  
Vol 3 (3) ◽  
pp. 611
Author(s):  
M. Deepthi ◽  
P. S. Sukthankar ◽  
K. Narsimloo
Keyword(s):  
Prospective Study ◽  
Total Thyroidectomy ◽  
Medical Therapy ◽  
Multinodular Goiter ◽  
Outpatient Department ◽  
Multinodular Goitre ◽  
Malignant Nodule ◽  
Solitary Nodule ◽  
Benign Nodules ◽  
A Prospective Study

<p class="abstract"><strong>Background:</strong> <span lang="EN-IN">Solitary nodule can be a true solitary nodule or a dominant nodule of multinodular goitre or ectopic thyroid or unilateral agenesis. Solitary nodule can be benign or malignant. Purpose of evaluation is to differentiate between the two. </span></p><p class="abstract"><strong>Methods:</strong> <span lang="EN-IN">A prospective study of solitary nodule thyroid (STN) patients presenting to ENT outpatient department, for a period of 3 years from September 2012 to 2015.  </span></p><p class="abstract"><strong>Results:</strong> <span lang="EN-IN">Out of 67 patients<strong> </strong>enrolled into study, 53 patients had benign true STN, 9 patients had multinodular goiter (MNG) presenting as solitary nodule and 5 had malignant nodule (7.46%). Among the benign nodules, 25 patients had small solitary nodule (&lt;4 cm size). They were treated medically and followed-up for a period of 1 year. 28 patients with large benign solitary nodules (&gt;4 cm size) were taken up for surgery directly. Hemithyroidectomy was done in benign STN patients (39 patients) and total thyroidectomy was done in malignant nodule and MNG patients and followed-up by lifelong L-T<sub>4 </sub>therapy. </span></p><p class="abstract"><strong>Conclusions:</strong> <span lang="EN-IN">Small benign solitary nodules regress with medical therapy alone. In large solitary nodules, and in those nodules not regressing with medical therapy, hemithyroidectomy is adequate. In MNG and malignant nodules, total thyroidectomy is advocated. Hemithyroidectomy and total thyroidectomy patients were followed - up with suppression and supplementation therapy respectively.</span><span lang="EN-IN">This area being fluorotic belt, there is an increased prevalence of goiter. This study gives a concise guideline in evaluation and management of STN for goiter endemic areas.</span></p><p class="abstract"> </p>

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