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149 consecutive thyroid operations--indications, technique and outcome

M C Barry1, J Connolly, F Lennon

  • 1Our Lady of Lourdes Hospital, Drogheda, Co. Louth.

Irish Medical Journal
|November 1, 1996
PubMed
Summary
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This study reviewed 149 thyroid and parathyroid surgeries, finding solitary thyroid nodules and pressure symptoms as common reasons for procedures. Surgical outcomes were generally favorable, with low complication rates for nerve injury and hypothyroidism.

Area of Science:

  • Endocrine Surgery
  • Surgical Outcomes Research

Background:

  • Thyroid and parathyroid surgeries are common procedures.
  • Understanding surgical indications and outcomes is crucial for patient care.

Purpose of the Study:

  • To analyze the indications for thyroid and parathyroid surgery.
  • To evaluate the complication rates and outcomes of these procedures.

Main Methods:

  • Retrospective review of 149 patients undergoing thyroid and parathyroid surgery over nine years.
  • Analysis of surgical indications, including solitary thyroid nodules and pressure symptoms.
  • Assessment of complication rates, such as wound complications, nerve injury, hypothyroidism, and hypoparathyroidism.

Main Results:

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  • Solitary thyroid nodules (56%) and pressure symptoms (30%) were the most frequent surgical indications.
  • Carcinoma was identified in 7.4% of cases.
  • Low complication rates were observed: 5% wound complications, 0.67% permanent nerve injury, and 4% permanent hypothyroidism. No permanent hypoparathyroidism occurred.

    • Conclusions:

    • Thyroid and parathyroid surgery demonstrated a favorable safety profile with low complication rates.
    • Solitary nodules and pressure symptoms are primary drivers for these surgical interventions.
    • Careful surgical technique minimizes risks of permanent nerve injury and hypoparathyroidism.