Outcome of total thyroidectomy and subtotal thyroidectomy in non-toxic multinodular goiter: Hospital Universiti Sains Malaysia Experience

Introduction: Thyroid enlargement is one of the common surgical presentations in the Department of Surgery, Hospital Universiti Sains Malaysia (HUSM). Among them, benign non-toxic multinodular goiter constitutes one third (30%) of patients who underwent thyroidectomy. Common complications of t...

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Main Authors:	Mohamad, Ikhwan Sani, Mohamad, Irfan, Baw, Shwe, Kamarulzaman, Mohd Nazli, S, Hassan, Rahman, Mohd Nor Gohar
Format:	Article
Language:	English
Published:	University Putra Malaysia 2013
Subjects:	R Medicine (General)
Online Access:	http://irep.iium.edu.my/42994/ http://irep.iium.edu.my/42994/ http://irep.iium.edu.my/42994/1/18._MJMS_Outcome_of_Thyroidectomy.pdf

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recordtype	eprints
spelling	iium-429942015-05-22T00:42:54Z http://irep.iium.edu.my/42994/ Outcome of total thyroidectomy and subtotal thyroidectomy in non-toxic multinodular goiter: Hospital Universiti Sains Malaysia Experience Mohamad, Ikhwan Sani Mohamad, Irfan Baw, Shwe Kamarulzaman, Mohd Nazli S, Hassan Rahman, Mohd Nor Gohar R Medicine (General) Introduction: Thyroid enlargement is one of the common surgical presentations in the Department of Surgery, Hospital Universiti Sains Malaysia (HUSM). Among them, benign non-toxic multinodular goiter constitutes one third (30%) of patients who underwent thyroidectomy. Common complications of thyroidectomy include recurrent laryngeal nerve (RLN) injury, hypocalcaemia, and recurrence of the thyroid lesion. Objective & Methods: This is a retrospective study of patients diagnosed with multinodular goiter treated in HUSM between January 1996 and December 2005. A total of 111 patients were studied and 52 of them underwent subtotal thyroidectomy while 59 underwent total thyroidectomy. The outcome in terms of RLN injury, hypocalcaemia and mass recurrence were analyzed. Results: Post operative complications were studied in both groups. Permanent recurrent laryngeal nerve injury occurs in 2.4% (1 case) in subtotal thyroidectomy group compared to total thyroidectomy group (3.6%, 2 cases). Five cases from total thyroidectomy group suffered from permanent hypocalcaemia but none in the other group. 70.7% (29 cases) from subtotal thyroidectomy group have functional remnant of thyroid tissue. Recurrence rate post subtotal thyroidectomy after 5 years is only 4.9% (2 cases). Conclusion: The post operative outcome in patients who underwent subtotal thyroidectomy in HUSM from January 1996 to December 2005 was better than total thyroidectomy with significant functional thyroid remnant. University Putra Malaysia 2013 Article PeerReviewed application/pdf en http://irep.iium.edu.my/42994/1/18._MJMS_Outcome_of_Thyroidectomy.pdf Mohamad, Ikhwan Sani and Mohamad, Irfan and Baw, Shwe and Kamarulzaman, Mohd Nazli and S, Hassan and Rahman, Mohd Nor Gohar (2013) Outcome of total thyroidectomy and subtotal thyroidectomy in non-toxic multinodular goiter: Hospital Universiti Sains Malaysia Experience. Malaysian Journal of Medicine and Health Sciences, 9 (1). pp. 3-8. ISSN 1675-8544 (O)1675-8544 (P) http://www.medic.upm.edu.my/sp/page/3001/FPSK_MJMHSBM
repository_type	Digital Repository
institution_category	Local University
institution	International Islamic University Malaysia
building	IIUM Repository
collection	Online Access
language	English
topic	R Medicine (General)
spellingShingle	R Medicine (General) Mohamad, Ikhwan Sani Mohamad, Irfan Baw, Shwe Kamarulzaman, Mohd Nazli S, Hassan Rahman, Mohd Nor Gohar Outcome of total thyroidectomy and subtotal thyroidectomy in non-toxic multinodular goiter: Hospital Universiti Sains Malaysia Experience
description	Introduction: Thyroid enlargement is one of the common surgical presentations in the Department of Surgery, Hospital Universiti Sains Malaysia (HUSM). Among them, benign non-toxic multinodular goiter constitutes one third (30%) of patients who underwent thyroidectomy. Common complications of thyroidectomy include recurrent laryngeal nerve (RLN) injury, hypocalcaemia, and recurrence of the thyroid lesion. Objective & Methods: This is a retrospective study of patients diagnosed with multinodular goiter treated in HUSM between January 1996 and December 2005. A total of 111 patients were studied and 52 of them underwent subtotal thyroidectomy while 59 underwent total thyroidectomy. The outcome in terms of RLN injury, hypocalcaemia and mass recurrence were analyzed. Results: Post operative complications were studied in both groups. Permanent recurrent laryngeal nerve injury occurs in 2.4% (1 case) in subtotal thyroidectomy group compared to total thyroidectomy group (3.6%, 2 cases). Five cases from total thyroidectomy group suffered from permanent hypocalcaemia but none in the other group. 70.7% (29 cases) from subtotal thyroidectomy group have functional remnant of thyroid tissue. Recurrence rate post subtotal thyroidectomy after 5 years is only 4.9% (2 cases). Conclusion: The post operative outcome in patients who underwent subtotal thyroidectomy in HUSM from January 1996 to December 2005 was better than total thyroidectomy with significant functional thyroid remnant.
format	Article
author	Mohamad, Ikhwan Sani Mohamad, Irfan Baw, Shwe Kamarulzaman, Mohd Nazli S, Hassan Rahman, Mohd Nor Gohar
author_facet	Mohamad, Ikhwan Sani Mohamad, Irfan Baw, Shwe Kamarulzaman, Mohd Nazli S, Hassan Rahman, Mohd Nor Gohar
author_sort	Mohamad, Ikhwan Sani
title	Outcome of total thyroidectomy and subtotal thyroidectomy in non-toxic multinodular goiter: Hospital Universiti Sains Malaysia Experience
title_short	Outcome of total thyroidectomy and subtotal thyroidectomy in non-toxic multinodular goiter: Hospital Universiti Sains Malaysia Experience
title_full	Outcome of total thyroidectomy and subtotal thyroidectomy in non-toxic multinodular goiter: Hospital Universiti Sains Malaysia Experience
title_fullStr	Outcome of total thyroidectomy and subtotal thyroidectomy in non-toxic multinodular goiter: Hospital Universiti Sains Malaysia Experience
title_full_unstemmed	Outcome of total thyroidectomy and subtotal thyroidectomy in non-toxic multinodular goiter: Hospital Universiti Sains Malaysia Experience
title_sort	outcome of total thyroidectomy and subtotal thyroidectomy in non-toxic multinodular goiter: hospital universiti sains malaysia experience
publisher	University Putra Malaysia
publishDate	2013
url	http://irep.iium.edu.my/42994/ http://irep.iium.edu.my/42994/ http://irep.iium.edu.my/42994/1/18._MJMS_Outcome_of_Thyroidectomy.pdf
first_indexed	2023-09-18T21:01:15Z
last_indexed	2023-09-18T21:01:15Z
_version_	1777410638225604608

Outcome of total thyroidectomy and subtotal thyroidectomy in non-toxic multinodular goiter: Hospital Universiti Sains Malaysia Experience

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