COMPLICATIONS OF THYROID SURGERY FOR PATIENTS ATTENDING TO TISHREEN UNIVERSITY HOSPITAL

Dr. Alhasan Saad*, Dr. Jamal Sulaiman and Dr. Younes Issa

ABSTRACT

Background: Thyroidectomy is considered a safe operation that performed frequently for many indications with low incidence of life threatening complications. Aim: The purpose of this study was to determine complications of thyroidectomy and the differences in occurrence according to the type of surgical procedure. Patients and Methods: In this retrospective study, we reviewed medical records of 100 patients referred to the department of general surgery, Tishreen University Hospital, Lattakia, during two-years period(2022-2023) who underwent either total thyroidectomy (80 cases) or subtotal procedure (20 cases). Results: Out of 100 patients, 25(25%) were male and 75(75%) were female, with mean age of the patients was 47.18±12.4 years. The overall rate of postoperative complications was 17%, which were more frequent in females than males (20% vs. 8%, p:0.04) and all were recorded in total thyroidectomy group(21.3% vs. 0% in subtotal group,p:0.02). Complications of total thyroidectomy included: injury to recurrent laryngeal nerve either transient(6.3%) or permanent in one side(1.3%), hypoparathyroidism either transient(5%) or permanent(1.3%), poor scar formation(2.5%) surgical site infection(2.5%), seroma(1.3%) and hematoma(1.3%). Conclusion: The current study revealed rise in complications rates for patients undergoing total thyroidectomy than subtotal one especially neurological and hypoparathyroidism.

Keywords: Complications, subtotal, Syria, Thyroidectomy, total.