THYRIOD SURGERY IN CENTRAL AND SOUTHERN ONDO, NIGERIA: OUR EXPERIENCE

Abstract

BACKGROUND: Goitre due  to any cause is prevalent in our environment like in most tropical countries. Based on the above it remains a noteable tropical disease. It often time’s presents a surgical and large disfiguressize. The aim of thin study is to determine highlight the surgical that my pattern of presentation and our surgical experience

METHODS: This is a prospective observational study in which hundred patients where recruited into the study from September 2019 to September 2021. These patients were treated in the university of medical science teaching hospital and the riverine state. Specialist hospital okitipupa. Data analysis was by SPSI version 23 (IBM incorporated, Chicago, U.S.A

RESULT:  A total of 100 cases who presented with Goitre, grade 111 (WHO classification) were operated on: 40 (40%) hemi thyroidectomy 30 hemithyroidectomy combined with subtotal contralateral resection, and  30 total thyroidectomy were performed.The recurrent laryngeal injury rate was 0% and the exploration rate for bleeding was 0%. Median hospital stay was 3 days: histological examination showed multinodular goiter in 89 cases, grave’s diseases in 7 cases follicular cancer in 2 cases, I case papillary cancer and I of anaplastic carcinoma.

CONCLUSION: A didactic surgical protocol will ensure performance of thyroid surgery without complications. Because of the possibility of malignant pathological finding and malignant degeneration in remnant tissue total thyroidectomy could be constructed as the method of choice. The fact that the patient will have to be L-thyroxin for life and many reasons night affect availability of this drug, a limited resection is this considered a more realistic surgical procedure.