Clinical assessment of postoperative complications in patients undergoing the total thyroidectomy for benign thyroid diseases
Dr. Sarthak Kumar, Dr. Chitranjan Kumar
Thyroid disorders are one of the most common cause of metabolic disturbances, with surgery forming the main stay of treatment of thyroid swellings. Thyroid surgery in the hands of experienced surgeons is currently one of the safest procedures performed. While complications following thyroidectomy are rare, their consequences can often be debilitating and even life threatening when they occur. The major complications include postoperative haemorrhage, wound infection, hypocalcaemia, respiratory obstruction, thyroid storm, hypo parathyroidism and laryngeal nerve injuries. Hence based on the above findings the present study was planned for Clinical Assessment of Postoperative Complications in Patients Undergoing the Total Thyroidectomy for Benign Thyroid Diseases. The present study was planned in Department of General Surgery, Nalanda Medical College and Hospital, Patna, Bihar. Total 50 cases of the thyroidectomy were enrolled in the present study. Depending on the diagnosis either total thyroidectomy, subtotal thyroidectomy or hemi thyroidectomy was done. Wound closure was done after securing complete haemostasis. A 3.0 absorbable (Catgut or Vicryl) suture was used to close the wound. All patients were admitted and monitored for at least 24-48 hours after surgery. indirect laryngoscopy was done for them, and their calcium was monitored regularly, and in case of calcium drop below 8 mg / dl, or incidence of symptoms of hypocalcaemia shuch as numbness and pare sthesia around the mouth and fingers and the positive results of the Trousseau and Chvostek tests, calcium treatment started and all data were recorded in the medical files. The surgeon knowledge and skills and the accurate dissection of operation field and paying attention to hemodynamic and homeostasis before, during and after the surgery are among the key factors in reducing the incidence of transient or permanent complications and mortality.