[Surgical treatment of graves' disease. Retrospective study of 40 cases]

ABSTRACT

Graves' disease is an autoimmune disorder. Its diagnosis is easy. Its treatment is delicate in lack of etiologic treatment. We report a retrospective study of 40 cases operated in nine years period. The failure of the medical treatment constituted the main operative indication in our series [57,5 %]. A subtotal thyroidectomy have been accomplished in 72,5 % and total thyroidectomy in 22,5% of cases. We noted one case of definitive hypoparathyroidism after surgery. Our endocrinal results were caracterised by the occurrence of hyperthyroidism in 2 cases after subtotal thyroidectomy. For many authors, surgery is the best treatment of graves' disorder and the actual tendency is to realise a total thyroidectomy. Our results encourage us to adhere to the theraputic method: