A CLINICAL STUDY OF POST-OPERATIVE COMPLICATIONS OF THYROID SURGERY IN TERITIARY CARE HOSPITAL,KURNOOL

Dr. L. Parvathi, Dr. P. Gowri Naidu, Dr. G. Usha Rani

Abstract


BACKGROUND: Thyroid Surgeries comprise one of the more commonly performed by general surgeon. Today most of
complications are related to either metabolic derangement or recurrent laryngeal nerve injury.
MATERIALS & METHODS: The aim of the study was to determine incidence of post operative complications of various thyroid surgeries,
time of onset in relation to date & time of surgery, length of hospital stay, management and outcome of complications. In this 2 years study series
of 50 cases of complications of various Thyroid Surgeries which are admitted to the GGH-Kurnool during the period of November 2016 to 2018
were profiled for the study and patients were followed up post operatively for a minimum period of 12 months.
RESULTS: Most of the patients in this series were in the fourth decade of the life with female preponderance 88%. Most of them presented with
swelling (78%), Histopathological examination accounting for colloid (30%) multi nodular goiter (22%) follicular neoplasm (22%) mostly.
Major procedure done was Hemithyroidectomy (52%). Major complications was Hypocalcaemia (18%), RLN Injury (6%), Hematoma (4%)
Seroma (4%)
CONCLUSION: Hypocalcemia is the most common complication of Thyroidectomy in this study. RLN palsy is another complication
associated with this procedure. It is essential to keep in mind the possible complications that may arise and be well prepared to manage them, good
surgical expertise is essential to avoid such complications.


Keywords


Thyroidectomy, complications, Hypocalcemia, Recurrent Laryngeal Nerve Injury.

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