Reoperative Thyroid Surgery
Dr. Yasemin ONARAN1, Dr. Tarık TERZİOGLU1, Dr. Serdar TEZELMAN1, Dr. Halil AZİZLERLİ2, Dr. Faruk ALAGÖL2, Dr. Cengiz DİBEKOĞLU1
1İstanbul Üniversitesi Tıp Fakültesi, Genel Cerrahi Anabilim Dalı, Çapa, İSTANBUL
2İstanbul Üniversitesi Tıp Fakültesi, İç Hastalıkları Anabilim Dalı, Endokrinoloji Bilim Dalı, Çapa, İSTANBUL
Abstract
In this study, 1443 operations performed for surgical diseases of the thyroid gland in 1440 patients between 1986 and 1993 were evaluated as primary (n=1367) and reoperative procedures (n=76). Eighty-nine percent of the patients were women and 11% were men. Mean age was found to be 45 years. The rate of unilateral vocal cord paralysis (6.6%) and temporary hypoparathyroidisim (3.9%) following reoperative procedures was found to be significantly higher than primary thyroidectomy (p<0.0001 and p<0.005 respectively). In conclusion, sufficient surgical treatment of the primary thyroid disease is necessary in order to prevent recurrence and avoid the complications related to reoperative surgery.
Keywords: Secondary thyroidectomies, Morbidity