Reoperation for postoperative recurrence of hyperthyroidism / 中国普通外科杂志

ABSTRACT

ObjectiveTo investigate the causes of postoperative recurrence of hyperthyroidism, and the indications for and modality of reoperation. Method Data of 31 reoperative cases with postoperative recurrence of hyperthyroidism were analyzed retrospectively.ResultsAll 31 patients were cured by reoperation. The incidence of complication was 6 5%,which was not significantly different compared with primary operation treatment. Conclusions Not enough amount of resection of the thyoid in the primary surgery caused postoperative recurrence of hyperthyroidism. Secondary operation was the therapy of choice for the treatment of postoperative recurrence. Careful intraoperative dissection helps to avoid injuries of recurrent nerve, and parathyroid and massive bleeding. Enough residual volume of the thyroid gland should be removed to prevent postoperative re-recurrence.