Total thyroidectomy in non malignant goitre

ABSTRACT

Total thyroidectomy is such a procedure where considerable controversy still exists with respect to use for bengin thyroid disease. On other hand reoperation for recurrent disease carries a very significant risk of damage to both the recurrent laryngeal nerves and the parathyroid glands. This study aimed to evaluate the safety and efficacy of total thyroidectomy for Non malignant thyroid disease. In the period between 2000 and 2006, 162 total thyroidectomy for nan malignant goitre were done, 124 females and 38 males with a mean age of 41.5 years, 99. Patients had Bilateral multi nodular goiter, 48patients were Toxic goitre and 15 patients were chronic thyroiditis. Permanent hypoparathyroidism occurred in 1.2%, temporary hypocalcaemia occurred in 8%. Hypocalcaemia was more common after surgery for toxic goitre than surgery for other diseases, permanent unilateral recurrent laryngeal nerve palsy occurred in 1.8%, the rate of post operative hemorrhage was 1.2% and wound infection 1.8%, there was no postoperative mortality. Total thyroidectomy remove the pathologic process completely, lowers local recurrence rates and avoids the risks of reoperation total thyroidectomy is safe and can be carried out with low complication rates