ABSTRACT
Background: Thyroid surgery is the preferred modality of treatment in malignant and benign thyroid disease including papillary thyroid cancer and multinodular goiter
Objective: To describe the epidemiology of surgically treated thyroid disease in a single center, the cytological and histological patterns and assess the sensitivity and specificity of fine-needle aspiration cytology [FNAC] in diagnosing thyroid nodules with malignant potentials
Design: A Retrospective Study
Setting: Department of Surgery, Salmaniya Medical Complex, Kingdom of Bahrain
Method: Data was collected for all thyroid surgeries performed from 1 January 2010 to 30 December 2014, including preoperative FNAC and postoperative histopathology reports
Result: Two hundred surgeries were performed during the study period. One hundred thirtytwo [66%[ were benign, and 68 [34%] were malignant. Nodular goiter was the most common benign pathology, 98 [74.2%], and papillary thyroid cancer constituted 63 [92.6%] of all thyroid malignancies. The mean age of patients was 42 years [17-88], with a female predominance 166 [82.9%] observed in both benign and malignant pathologies
Conclusion: Thyroid surgeries were most commonly performed for benign pathologies, and papillary thyroid cancer was the most frequent histopathological type of thyroid carcinoma. The pattern is similar to that of other GCC populations. In our unit, FNAC was a reliable tool in preoperative diagnosis
ABSTRACT
Objective: To evaluate the rate and causes of cancellation of elective procedures
Design: A Retrospective Study
Setting: Salmaniya Medical Complex, Bahrain
Method: Data were collected for four months from the operation theatre register and were analyzed
Result: Day of surgery [DOS] cancellation rate in our study was found to be 7.3%. The causes of cancellation were lack of time, high blood pressure, cardiology consultation, chest infection and upper respiratory tract infection. Most cancellations in the OT were because of high blood pressure. These causes can be avoided if proper preoperative assessment and control were applied
Conclusion: DOS cancellation is a universal problem. Several common factors that play a role in increasing cancellation rate and these should be considered individually for a better outcome. A general understanding and cooperation between the caring firm, anesthesia department, nursing team and other medical departments is paramount in reducing the incidence to a minimum and to increase the efficacy of the hospital