We suggest that, where appropriate, this fibrin-based haemostat should be used as a first line hemostatic agent in thyroidectomy
in combination with conventional surgical means of hemostasis.
Therefore, total thyroidectomy
and neck lymph nodes dissection were performed.
We performed a retrospective study of 223 patients--47 males and 176 females, aged 15 to 90 years (mean: 53), most of whom were Asian--with a multinodular goiter who had undergone a thyroidectomy
over a period of more than 10 years in our Department of Otolaryngology-Head and Neck Surgery.
40) All the patients underwent surgery, either hemithyroidectomy, subtotal thyroidectomy
or near total/total thyroidectomy
(41,42,43) and all operated specimens were subjected to detailed histopathological examination in the Department of Pathology, Medical College, Trivandrum.
He told the court his immediate concern was haematoma - an abnormal collection of blood outside a blood vessel - a "well-known complication" following thyroidectomy
Although the diagnosis of SFM is an indication for surgery, surgical management includes either lobectomy or total thyroidectomy
, with or without intraoperative FS.
One group of researchers assessed four QoL assessment questionnaires and gave top rating to the ThyPRO (thyroid-specific patient reported outcome) questionnaire for use in patients with hypothyroidism due to Hashimoto's disease or thyroidectomy
(J Clin Epidemiol.
Bilateral subtotal thyroidectomy
was performed in 71 cases (68%), unilateral subtotal thyroidectomy
in 13 (12%), unilateral total thyroidectomy
in 6 (6%), bilateral total thyroidectomy
in 6 (6%), nodule excision in 3 (3%) and completion thyroidectomy
for recurrent goiter in 5(5%) cases.
According to the article, the institution consideredunilateral nerve injuries as a complication if the indication for thyroidectomy
and postoperative follow-up were proper, regardless of surgical technique.
Secondly, an increased risk of complication attributable to a completion thyroidectomy
must be weighed against the merits and demerits of partial thyroidectomy
or a single definitive treatment paradigm of Total Thyroidectomy
, the surgery to partially or total removing the thyroid, may cause voice deviations [1,2] with the manipulation of the larynx nerves close to thyroid, or other factors as the used technique in surgery and intubation .
A 52 years old woman with MNG, came for thyroidectomy
The histological changes in the vocal folds develop rapidly in the setting of hypothyroidism, and they can even be observed in the period of transient hypothyroidism following thyroidectomy
with voice changes appearing as early as 36-48 hours postoperatively.
Since the first introduction of endoscopic endocrine neck surgery in 1996 [1, 2], many different techniques of remote access thyroidectomy
without a conventional cervical incision have been developed [3, 4].
However, another patient--an 18-year-old woman with hypothyroidism after total thyroidectomy
performed because of a suspected thyroid malignancy--was found to have no malignancy; disabling tiredness and failure to thrive emerged after the thyroidectomy
and persisted despite iron therapy given at 100 mg twice daily.