Our Clinical Experience in Re-Thyroidectomy for Recurrent Nodular Goıter
Dicle Medical Journal
Recurrence is a very important problem after nodular goiter operation. Re-thyroidectomies after relapses are technically difficult operations and complication rates are high. The regional adhesions and the anatomical variations complicate the operation. The aim of this study was to compare the general features and the postoperative complications in the groups of patients who underwent troidectomy for primary or recurrent nodular goıter. In this study, the records of 56 patients who underwent
... ts who underwent surgery due to recurrent nodulary goiter between the years 1998–2005 were examined, retrospectively. A control group including 54 patients who were operated on for primary nodular goıter in first 4 moths of 2006 was added. Age, sex and complications were the data being evaluated. In re-troidectomy group there were 49 women and 7 men. The mean age was 42,28 ±10,89 years. The average recurrence time was 11,5±6.54 years. Of 25 patients developed complications (%50) and 3 of these complications (%5.4) were permanent. The control group was consist of 12 men 42 women. Because of the fibrosis and diffuse adhesions recurrent nodular goıter carries a higher risk of voice loss due to nerve damage and temporary or permanent hypocalsemia secondary to parathyroid damage in thyroid surgery. Since these features are well known and most of these procedures are being performed by experienced surgeons, the rate of complications decreases. For this reason it is important to use optimal surgery at the first operation. Thus decreases in the rate of recurrences prevent the development of complications and diminish the cost due to recurrence.