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[Iterative surgery for goiter]
H O El Malki1, R Mohsine, S El Mazouz
1Clinique chirurgicale A du CHU Ibn Sina Rabat-Maroc, France.
Aim:
Identify and resolve problems related to iterative surgery for goiter.
Patients And Method:
Fifty-nine patients who underwent surgery for recurrent benign goiter between 1990 and 1999 were included in the study.
Results:
Forty-two patients had lobectomy and isthmusectomy (71.2 and 17 patients had subtotal thyroidectomy (28.8%). The delay from initial surgery to recurrence was less than 5 years for 44% of the patients and was more than 10 years for 17.8%. There was no post-operative mortality and no recurrent laryngeal nerve injury. Early post-operative hypocalcemia occurred in 2 patients (3.3%).
Conclusion:
The goal of revision surgery for recurrent goiter is total thyroidectomy. Prevention is a rational management scheme for thyroid nodules.