In the present study we tried to find out factors which can predict the occurrence of post-operative hypocalcaemia & hypoparathyroidism in total
thyroidectomy patients, facilitating their early detection and institution of definitive management in time, preventing emergency admissions & catastrophes.
After a first unilateral TOETVA procedure, an endoscopic
thyroidectomy of completion is not recommended and the traditional technique is preferable (11).
However, studies show that there is no correlation between the levothyroxine dose and single factor predicting the initial dose after total
thyroidectomy (15, 17, 18).
Total
thyroidectomy has now become the preferred option for all patients presenting with bilateral benign multinodular goiter5, Graves' disease6 and most patients with thyroid cancer7.
Study group consisted of euthyroid patients admitted to the Endocrine surgery outpatient clinic between January and December 2013, and scheduled to undergo total
thyroidectomy.
Thyroidectomy indications were malignancy, suspicious malignancy, nodules larger than 4 cm, Basedow-Graves disease and symptomatic multi-nodular goitre like dyspnea and etc.
We analyzed 854 consecutive medical records of patients with benign and malignant thyroid disease who underwent Total
thyroidectomy between January 2003 and December 2016.
Our patient was followed-up for malignancy without
thyroidectomy, and no malignancy was detected by the fine needle aspiration biopsy performed at the end of the one year.
Passaris said she kept details of her
thyroidectomy under wraps until she knew she was out of danger.
41.1% (44/107) of patients with HCN underwent total
thyroidectomy and 50.5% (54/107) had thyroid lobectomy.
Hypopharyngeal fistula (6), Horner's syndrome, chylous leakage fistula (7,8), flap edema (7) and seroma (8) are rare complications following
thyroidectomy. With literature search, there was no report of suture material spontaneously causing fistula in the skin years after thyroid surgery.
The patient underwent total
thyroidectomy. Full dissection of the lateral lobes was performed, and both the lateral lobes were mobilized medially after completing the surgical dissection.