Thyroid surgeries in a single centre 2010-2014

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

Muir-torre syndrome with different clinical presentations

The presence of sebaceous gland neoplasm and visceral malignancy is a very rare condition

We present two cases of Muir-Torre Syndrome [MTS] with different clinical presentations

The syndrome is associated with high incidence of multiple malignancies in various systems

One patient presented with a sebaceous cyst carcinoma and later with colonic neoplastic polyps while the other, after several colectomies for malignancy, developed a sebaceous cyst neoplasm

MTS is a hereditary disease; therefore, the family members may need to be counseled and screened, as early detection improves the overall prognosis and survival of the affected individual

Wound infection in perforated appendectomy: a proposed solution to decrease the risk, advantages and disadvantages

Wound infection is the commonest complication post-appendectomy especially in perforated and gangrenous appendicitis. Our aim is to study the incidence of wound infection in cases of perforated or gangrenous appendicitis, and search for the possible solution to overcome this post operative complication, which leads to lengthy hospital stay and increases the cost of treatment. We conducted a retrospective study for all the registered cases of appendicitis then, selected cases of perforated and gangrenous appendicitis. Prevalence of wound infection in this group was 28%, which is within the accepted range. We have reviewed the literature searching for the methods to help us to avoid or decrease this complication. In conclusion we found that there is no use of practicing delayed primary wound closure for perforated or gangrenous appendicitis, but laparscopic appendectomy can dramatically decrease the chance of wound infection and shorten duration of surgery in expert hand by improving instruments and techniques which can decrease the incidence intraabdominal abscess