Indications and complications of thyroidectomy in Al-Ramadi teaching hospital

Muthanna Medical Journal
Volume 7, Issue 1,  2020 Page 1-11

Research Article

Esmael Saleh, Aamer Fakhree, Raid M Al-Ani

* Correspondence author:
Al-Ramadi teaching hospital, Department of Surgery, College of Medicine, University of Anbar
Received 04 January 2020, Accepted 1 April 2020, Available online 9 April 2020.
This is an article distributed under the terms of the Creative Commons Attribution License (, which permits unrestricted use, distribution, and reproduction in any medium provided the original work is properly cited. Copyright © 2020 RA


Thyroidectomy is one of the common operations performed worldwide. It is a main option of treatment for different benign and malignant thyroid problems. Despite improvements in procedures have decreased mortality and even and morbidity rates to a minimum; however, postoperative complications remain a major concern among surgeons. We aimed to evaluate the indications and complications of thyroidectomy. A Prospective study was conducted at Al-Ramadi Teaching Hospital/Ramadi city/Iraq during the period from January 2009 to January 2010. There were 130 patients underwent thyroidectomy. A demographic and clinical data for each patient was recorded to assess indications and complications of different types of thyroidectomies. The majority of the patients were females (93{df6391716bcab23f197eab8ba5a452daee5812a1941604c42f67c7803ea6be47}). The most age group affected was 21-30 years (41.54{df6391716bcab23f197eab8ba5a452daee5812a1941604c42f67c7803ea6be47}). Pressure symptoms were accounting for 61.54{df6391716bcab23f197eab8ba5a452daee5812a1941604c42f67c7803ea6be47} of the indications. Thyroid enlargement in euthyroid states (80{df6391716bcab23f197eab8ba5a452daee5812a1941604c42f67c7803ea6be47}) was the common presenting state. Subtotal thyroidectomy (58.46{df6391716bcab23f197eab8ba5a452daee5812a1941604c42f67c7803ea6be47}) was the commonest procedure. Out of 130 patients, 36 patients (27.69{df6391716bcab23f197eab8ba5a452daee5812a1941604c42f67c7803ea6be47}) were suffered from complications. The 2 most common complications encountered in the study were hypocalcemia (61.11{df6391716bcab23f197eab8ba5a452daee5812a1941604c42f67c7803ea6be47}) and recurrent laryngeal nerve palsy (5.38{df6391716bcab23f197eab8ba5a452daee5812a1941604c42f67c7803ea6be47}). In conclusion, subtotal thyroidectomy is a common procedure in our hospital. Compressive complaints were the most common indication. Hypocalcemia and recurrent laryngeal nerve palsy were the 2 most postoperative complications.
Keywords:Thyroidectomy; Indications; Complications; Hypocalcemia; Vocal cord paralysis; Pressure symptoms

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