Why total thyroidectomy for benignthyroid disease ?

Aim :The aim of this study was to evaluate Total Thyroidectomy asa an option for clinically benign Thyroid Disease as multimodular goiter,Grave's disease and thyroiditis.Since the re operation for the recurrentgoiter after surgery less than total Thyroidectomy.Or incidental cancermay be associated with increased complication rate many times thanthat due to total Thyroidectomy from the start

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Patients and Methods: This prospective study included 45 patientswho underwent total thyroidectomy for benign thyroid disease. It included 32 women and 13 men with mean age 42.3 years. Indications of sur-gery were simple multimodular goiter 28 [ 62.2 % ] ,Toxic nodular goiter 8[17.8 %] Graves disease 6 [ 13.3 %] Hashimoto's thyroiditis 3 [6.7]

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Results :Transient recurrent laryngeal nerve injury occurred in 1 patient [2.2 %].Permenant new injury in 1 patient [ 2.2 %].Transient hypocal-cemia in 2 [4.4%] Permenant hypocalcemia in 1 [2.2 %] hematoma indicat-ing reoperation in 1 [ 2.2 ] incidental thyroid cancer in 4 [8.9]

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Conclusion :For patients with bilateral involvement of thyroid glandby clinically Benign disease , Total Thyroidectomy is a preferred optionbecause it decreased the future redo for recurrent diseases or incidentalcarcinoma