[Surgical management of hyperthyroidism: about 60 cases]

Area of Science:

• Endocrinology
• Surgical Oncology
• Otolaryngology

Background:

• Hyperthyroidism involves elevated circulating thyroid hormones.
• Thyroidectomy is a primary treatment for hyperthyroidism.
• Understanding surgical outcomes is crucial for patient management.

Purpose of the Study:

• To evaluate epidemiological, clinical, therapeutic, and evolutionary features of hyperthyroidism patients undergoing surgery.
• To assess the morbidity associated with thyroidectomy for hyperthyroidism.

Main Methods:

• Retrospective study of 60 patients who underwent surgery for hyperthyroidism.
• Data collected from medical records at Avicenne Military Hospital, Marrakech.
• Analysis of patient demographics, clinical presentation, surgical procedures, and postoperative complications.

Main Results:

• Female predominance observed, with an average age of 52 years.
• Toxic or pretoxic multinodular goiter was the most frequent diagnosis (78.33%).
• Total thyroidectomy was the predominant procedure (83.33%), with low rates of transient laryngeal paralysis (1.6%) and definitive hypoparathyroidism (1.6%).

Conclusions:

• Thyroidectomy is an effective treatment for hyperthyroidism, particularly for multinodular goiters.
• Experienced surgeons are essential to minimize complications such as laryngeal paralysis and hypoparathyroidism.
• Careful patient preparation and surgical technique are vital for favorable outcomes in hyperthyroidism surgery.