Rahul Bharathan Nair1, Koresh Prasad Dash2, Tapas Kumar Rout3, Rasananda Mangual4, Rama Narayan Sahu5
BACKGROUND
After obesity, thyroid disorders are the most common cause of metabolic disturbances, with surgery forming the mainstay of treatment of many thyroid swellings.
The major complications include postoperative haemorrhage, respiratory obstruction, hyperthyroid storm, hypoparathyroidism, and laryngeal nerve injuries. Surgery of the thyroid takes place in an area of complicated anatomy and in which a number of physiological functions and special senses are controlled. Thyroid gland being related to vital structures poses a challenge for the operating surgeon. But still, thyroid surgery in the hands of experienced surgeons is currently one of safest surgeries performed.
This study intends to assess the occurrence of various postoperative complications following the different thyroidectomy procedures and the role of adequate preoperative patient preparation, careful, meticulous surgical technique and early recognition of postoperative complications with the prompt institution of treatment in reducing morbidity and providing the patient with the best chance of a satisfactory outcome.
AIM OF THE STUDY
ï?· To study the occurrence of various postoperative complications following the various thyroidectomy procedures.
ï?· To analyse the various causes of postoperative complications in thyroid surgeries.
ï?· To study the effect of management and followup of the patients up to 6 months of postoperative period in patients undergoing thyroid surgeries.
MATERIALS AND METHODS
This study was conducted on 50 patients undergoing various thyroidectomy procedures in the surgical ward of M.K.C.G Medical College and Hospital, Berhampur during the study period of September 2013 to August 2015. Majority of the patients were from the city of Berhampur or from the villages around the city.
All the 50 patients were observed for any postoperative complications following their thyroid surgery for a period of 6 months.
RESULTS AND CONCLUSION
In our study, the findings were that the most common complication following thyroid surgery was hypocalcaemia in 12 % of patients, followed by seroma formation in 4 % of patients and wound infection in 2 % of cases.
