ABSTRACT
Postoperative hypothyrosis was diagnozed in 76 (6.17%) out of 1231 patients operated upon for various diseases of the thyroid gland. Among causes of this complication the authors point to lymphoid infiltration of tissue and changes in autoimmune processes. Adequate operative methods, leaving sufficient quantity of the gland tissue with special reference to cellular and humoral immunity are considered as prophylactic measures. The treatment includes thyroid drugs used by a special scheme with addition of corticosteroids in autoimmune forms of thyroiditis.
Subject(s)
Hypothyroidism/etiology , Postoperative Complications/etiology , Thyroidectomy/adverse effects , Adolescent , Adult , Aged , Child , Combined Modality Therapy , Dietary Fats/administration & dosage , Female , Humans , Hypothyroidism/prevention & control , Hypothyroidism/therapy , Male , Middle Aged , Postoperative Complications/prevention & control , Postoperative Complications/therapy , Prednisolone/administration & dosage , Thyroid Hormones/administration & dosage , Triiodothyronine/administration & dosage , Vitamins/administration & dosageSubject(s)
Elephantiasis/etiology , Erysipelas/complications , Face , Lymphedema/etiology , Adult , Female , HumansABSTRACT
On the basis of an analysis of 1062 operations on the thyroid gland the authors make a conclusion that incidence of cancer of the thyroid gland in the focus of the moderate goiter endemia is 9,6%. Three stages of the development of cancer of the thyroid gland are established: a) precancer, b) latent stage of cancer (histological findings), c) stage of manifest cancer. Complex methods of treatment were used such as radical operation followed by the obligatory radiation therapy (in patients having no contraindications) and permanent treatment by thyroidine in combination with chemotherapy (on indications). Remote results followed in 92 patients during 9 years were quite satisfactory. Recurrences were found in 2 patients.
Subject(s)
Goiter, Endemic/complications , Thyroid Neoplasms/surgery , Adult , Female , Humans , Kazakhstan , Male , Middle Aged , Postoperative Care , Thyroid Neoplasms/etiologyABSTRACT
On the basis of an experience with the treatment of 605 patients with open fractures of the crus and posttraumatic osteomyelitis the authors propose recommendations for the rational choice of the operation volume, the method of the antibiotic therapy, using hemosorption and lymphosorption. The complex treatment gave satisfactory results in 80,3% of the patients.
