Indications and Immediate Post-surgical Complications of Thyroidectomy; An Experience from Baqiyatallah University Hospital, Tehran, Iran

Introduction: Thyroidectomy is one of the most prevalent performed surgeries worldwide by a variety of trained surgeons in various fields. Risk and complications of thyroidectomy is depended on indication and extent of surgery, number of thyroidectomies performed in a center and surgeon’s experience to a wide extent. We aimed to determine indications and prevalence of immediate post-surgical thyroidectomy complications at Baqiyatallah University hospital, Tehran, Iran. Methods: In this cross-sectional study we retrospectively reviewed profile of patients who underwent conventional (transcervical) thyroidectomy between March ۲۰۱۷ and March ۲۰۱۸. Demographic information as well as surgical indication, primary impression, Fine-needle aspiration results, method of thyroid surgery, weight of extracted specimen, final pathology result, duration of surgery, duration of hospitalization and immediate post-surgical complications were recorded in a predesigned checklist. Information on complications was extracted from physician’s progress note and nursing assessment sheets. Results: Eventually ۱۱۷ (۹۱ female and ۱۵ male) patients with a mean age of ۴۶±۱۳ years underwent analysis. Multinodular goiter (MNG) was the most frequent (۵۷%) primary impression of the study individuals. Total thyroidectomy was the most prevalent type of thyroidectomy surgery among study individuals with ۴۷(۴۳%) patients followed by subtotal thyroidectomy with ۳۷ (۳۴%) cases. Nausea was the most frequent complication with ۱۴ (۱۳.۱%) patients followed by hypocalcaemia (۵.۱۲%) and surgery site bleeding (۳.۴۱%). Conclusion: Findings of the present study showed that multinodular goiter is the most prevalent cause of thyroidectomy. Nausea was the most prevalent complication of surgery followed by hypocalcemia and bleeding.

کلیدواژه ها:

thyroidectomy ، Complications ، etiology ، Prevalence