Post-thyroidectomy complications in southwestern Saudi Arabia: a retrospective study of a 6-year period

Thyroidectomy is the surgical removal of all or part of the thyroid gland for non-neoplastic and neoplastic thyroid diseases. Major postoperative complications of thyroidectomy, including recurrent laryngeal nerve injury, hypocalcemia, and hypothyroidism, are not infrequent. Summarize the frequency...

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Bibliographic Details
Published in:Annals of Saudi medicine 2021-11, Vol.41 (6), p.369-375
Main Authors: Bawa, Dauda, Alghamdi, Amal, Albishi, Hanan, Al-Tufail, Nasser, Sharma, Shashi Prabha, Khalifa, Yasser Mohammad, Khan, Saleem, Alhajmohammed, Mohammed Alobeid
Format: Article
Language:English
Subjects:
Female
Humans
Hypoparathyroidism - epidemiology
Hypoparathyroidism - etiology
Male
Original
Recurrent Laryngeal Nerve Injuries - epidemiology
Recurrent Laryngeal Nerve Injuries - etiology
Retrospective Studies
Saudi Arabia - epidemiology
Thyroidectomy - adverse effects
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Summary:Thyroidectomy is the surgical removal of all or part of the thyroid gland for non-neoplastic and neoplastic thyroid diseases. Major postoperative complications of thyroidectomy, including recurrent laryngeal nerve injury, hypocalcemia, and hypothyroidism, are not infrequent. Summarize the frequency of surgical complications of thyroidectomy. Retrospective. Secondary health facility in southwestern Saudi Arabia. We collected data from the records of patients who were managed for thyroid diseases between December 2013 and December 2019. Complications following thyroidectomy. 339 patients, 280 (82.6%) females and 59 (17.4%) males. We found 311 (91.7%) benign and 28 (8.3%) malignant thyroid disorders. Definitive management included 129 (38.1%) total thyroidectomies, 70 (20.6%) hemithyroidectomies, 10 (2.9%) subtotal thyroidectomies and 5 (1.5%) near-total thyroidectomies with 125 (36.9%) patients treated non-surgically. The overall complication rate was 11.3%. There were 4 (1.9%) patients with recurrent laryngeal nerve palsy, 16 (7.5%) patients with temporary hypoparathyroidism, 1 (0.5%) patient with paralysis of the external branch of the superior laryngeal nerve and 3 (1.4%) patients with wound hematoma. The rate of complications following thyroidectomy is still high. There is a need for emphasis on comprehensive measures to control the high rate of complications. Retrospective design and no long-term follow up to monitor late complications. None.
ISSN:0256-4947
0975-4466
0975-4466
DOI:10.5144/0256-4947.2021.369