Efficacy and safety of Total thyroidectomy in Multi Nodular Goitre management: a review of 172 cases.

Abstract

Background: Multinodular goiter is a common endocrine disorder worldwide. It presents mainly in the
4th and 5th decade of life and is more common in women. Etiopathologically iodine deficiency is
implicated as most common factor.
Objectives: Our study aimed to evaluate whether the outcomes of total thyroidectomy are safe and
can be considered as the optimal surgical approach for the treatment of Multinodular goiter.
Materials and Methods: This was a retrospective analysis conducted on patients of Thyroid surgeries
from 1st January 2014 to 31stth December 2019 in ENT department Hayatabad Medical Complex
Peshawar. Total no of 172 patients were included in this study. We excluded patients with thyroid
cancer, suspicion of thyroid malignancy and recurrent cases.
Results: Patient aged from 10 years to 60 years were recorded. Highest no of 65 (37.3%) patients was
in the age group of 31 to 40 years. In included cases 101 (86.6%) were female and Diagnoses before
surgery were multinodular goiter. Postoperative complications in the period of 1st week were noted. The
incidence of bilateral recurrent laryngeal nerve palsy was 0%, and that of unilateral recurrent laryngeal
nerve palsy was 1.7%, Hypocalcemia occurred in 2.9%, of patients. Hemorrhage requiring repeat
surgery occurred in 1.1% of patients. Only one case 0.58%, developed Seroma and postoperative
mortality was 0%.
Conclusion: Total thyroidectomy plays a considerable role in the treatment of patients with multinodular
goiter. Total thyroidectomy avoids the recurrence of pathology in benign diseases and reduces risk of
secondary operations for same disease.