[Myasthenia gravis and 93 thymectomies. Therapeutic strategies and results 1990-1994]

The authors evaluate 93 thymectomies they performed in the course of five years. Indication for surgery was in all instances myasthenia gravis. Surgery was used only after conservative treatment, the patients had to be asymptomatic or have only minimal myasthenic manifestations. Thymectomy was associated with a 6.4% morbidity and zero mortality. On long-term follow-up the results were excellent or very good in 66.7% of patients and marked improvement was recorded in 30.1%. Thymectomy is part of comprehensive treatment of patients with myasthenia gravis.