Risk Factors for Post-Operative Thyroid Related Complications in Patient Undergoing Thyroidectomy: A Single Center Study
Journal Title: The Egyptian Journal of Hospital Medicine - Year 2018, Vol 72, Issue 2
Abstract
<span>Background: </span><span>Thyroid diseases are one of the most prevalent endocrinopathies globally </span><span>(1)</span><span>. Most of the thyroid diseases treated surgically. The operation duration is under multiple factors can be predicted preoperatively </span><span>(2)</span><span>. Hypocalcaemia and nerve injury are serious complication after thyroid surgery and we hypothesized it could be prevented by simple measures to avoid such complications.<br /> </span><span>Objective: </span><span>Was to assess the correlation between thyroidectomy operating time, histo-pathological diagnosis of thyroid disease and pre-operative vitamin D supplementation with post thyroidectomy complications mainly hypocalcaemia and nerve injury. </span><span>Method: </span><span>An observational retrospective cohort study with a total of 187 patients who underwent thyroidectomy from October 7</span><span>th </span><span>2013 to January 4</span><span>th </span><span>2018 were included in this study. Data were analyzed for demographic information including age, sex, nationality, height and weight. Information about the use of vitamin D supplementation before or after the operation, the clinical and the histological diagnosis of thyroid diseases, the name of the procedure (partial or total thyroidectomy), and the presence of any complications. </span><span>Result: </span><span>The mean age of the patients was 39.7±12.71 years. 81.8%(153) were females and 18.2%(34) were males. 53.5%(100) were given Vitamin-D supplements before or after the surgery. Histopathology showed that the most prevalent type was papillary Carcinoma accounting for 68 (36.4%). No significant association between histological diagnosis and complication of hypocalcaemia and nerve injury. Mean duration of surgery performed was 135.61±47.668. 83 of our patients suffered from hypocalcaemia and 6 suffered from nerve injury. When correlating between duration of surgery with hypocalcaemia and nerve injury, The independent t-test was associated with statistically insignificant effect t(182)= -1.85 , p= 0.066 (>0.05) for hypocalcaemia and t(185)= -0.075 , p= 0.940 (>0.05) for nerve injury.<br /> </span><span>Conclusion: </span><span>Our study suggested that there was no significant correlation between the duration of surgery as well as histo-pathological diagnosis and the development of post-operative hypocalcaemia and nerve injury. </span>
Authors and Affiliations
Eman Helal
Keywords
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- EP ID EP584061
- DOI 10.21608/ejhm.2018.9070
- Views 103
- Downloads 0
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