DETECTION OF THE COMPLICATIONS IN THOSE PATIENTS WHO UNDER GOING IN DIFFERENT TYPES OF THYROID SURGERIES, WITH IN ONE WEEK

Abstract

Introduction: Thyroid swelling is a common problem all over the word, enlargement of thyroid gland may be physiological, puberty induced, pregnancy induced, Pathological simple nodule, simple multi nodular, toxic nodule, toxic multi nodular, toxic diffuse, infective, inflammatory, viral benign, & malignant. Objective: To determine the detection of the complications in those patients who undergoing in different types of thyroid surgeries, within one week. Study design: Prospective observational study.Place & Duration: Two years’ study from May 2018 to April 2020 was conducted in liaquait university of Medical and health sciences jamshoro/Hyderabad. Patients &Method: The study comprises 50 patients. All were admitted from Out Patients Department (OPD). The patients were evaluated fully after history, Clinical examinations and specific investigations. Before surgery of thyroid swelling. Thyroid profile (T3, T4, TSH), Auto antibodies, Ultra sound of Neck, Fine needle Aspiration Cytology (FNAC) Thyroid scan, indirect laryngoscopy, Serum Calcium, X-ray chest. If Suspicious malignant then do Image guided biopsy. X-Ray cervical spine, CT scan of neck, MRI of neck, and general assessment.Results: - In this study of 50 patients of Thyroid swelling. The maximum number of patients was in age group between 15 to 60 years. Out of 50 patients 21 patient were diagnosed Simple multi nodular goiter, 14 patients were diagnosed Simple nodular goiter, 3 patients were diagnosed Toxic multi nodular goiter ,2 patients were diagnosed Toxic solitary nodular goiter,4 patients were diagnosed diffuse toxic goiter, 4 patients were diagnosed Papillary adenoma, 2 patients were diagnosed follicular adenoma. Out of 50 patients 15 patients were treated lobectomy, 8 patients were treated Subtotal Thyroidectomy, 18 patients were treated near total Thyroidectomy, 9 patients were treated total thyroidectomy.17 patients were developed post-operative tetany,6 patients were developed Hoarse ness of voice. 5 patients were developed seroma formation, 2 patients were developed wound infection, 1 patient was developed dysphagia and 1 patient was developed Thyroid storm. Conclusion: Patients of thyroid swelling admitted, investigated and operated after post operatively. Patients developed Critical complications if not treated earlier and councils the patient or attendant they will create lot of problem.