Indications and complications of thyroidectomy in Al-Ramadi teaching hospital

Abstract

Thyroidectomy is one of the common operations performed worldwide. It is a main option oftreatment for different benign and malignant thyroid problems. Despite improvements inprocedures have decreased mortality and even and morbidity rates to a minimum; however,postoperative complications remain a major concern among surgeons. We aimed to evaluatethe indications and complications of thyroidectomy. A Prospective study was conducted at AlRamadi Teaching Hospital/Ramadi city/Iraq during the period from January 2009 to January2010. There were 130 patients underwent thyroidectomy. A demographic and clinical data foreach patient was recorded to assess indications and complications of different types ofthyroidectomies. The majority of the patients were females (93%). The most age groupaffected was 21-30 years (41.54%). Pressure symptoms were accounting for 61.54% of theindications. Thyroid enlargement in euthyroid states (80%) was the common presenting state.Subtotal thyroidectomy (58.46%) was the commonest procedure. Out of 130 patients, 36patients (27.69%) were suffered from complications. The 2 most common complicationsencountered in the study were hypocalcemia (61.11%) and recurrent laryngeal nerve palsy(5.38%). In conclusion, subtotal thyroidectomy is a common procedure in our hospital.Compressive complaints were the most common indication. Hypocalcemia and recurrentlaryngeal nerve palsy were the 2 most postoperative complications