A fifteen year experience of total thyroidectomy for the management of simple multinodular goitres in a low medium income country

  • Adefemi O Afolabi University of Ibadan
  • Omobolaji Oladayo Ayandipo University of Ibadan
  • Oludolapo Afuwape University of Ibadan
  • Omowonuola Ogundoyin University College Hospital
Keywords: Total thyroidectomy, Simple multinodular goitre, Ibadan

Abstract

Introduction: Total thyroidectomy as a treatment for simple multinodular goitre is not well recognised in most centres in low middle income countries.

Methods: This paper is a retrospective review of outcomes of total thyroidectomy for simple multinodular goitres in the last fifteen years in a tertiary hospital in Nigeria.

Results: A total of 652 thyroidectomies were done from January 2001 to December 2015. Simple multinodular goitres were indication for a total thyroidectomy in 447 patients (68.6%) with a male to female ratio of 1:6. Postoperative complications were hypocalcaemia in 22 (4.9%), unilateral recurrent laryngeal nerve palsy in 13 (2.8%) and haemorrhage in 2 patients. Others were seroma and cellulitis. Tracheostomy was required in 35 (5.8%) patients but none was permanent.

Conclusion: Total thyroidectomy is a relatively safe treatment option for patients who have simple multinodular goitre. It provides a permanent cure with a low postoperative morbidity risk. The burden of replacement l-thyroxine needs to be discussed with the patients.

Author Biographies

Adefemi O Afolabi, University of Ibadan

Department of Surgery
College of Medicine
University of Ibadan; and
Department of Surgery
University College Hospital

Omobolaji Oladayo Ayandipo, University of Ibadan

Department of Surgery
College of Medicine
University of Ibadan; and
Department of Surgery
University College Hospital

 

Oludolapo Afuwape, University of Ibadan

Department of Surgery
College of Medicine
University of Ibadan; and
Department of Surgery
University College Hospital

Omowonuola Ogundoyin, University College Hospital
Department of Surgery
University College Hospital
Published
2016-12-07
How to Cite
Afolabi, A., Ayandipo, O., Afuwape, O., & Ogundoyin, O. (2016). A fifteen year experience of total thyroidectomy for the management of simple multinodular goitres in a low medium income country. South African Journal of Surgery, 54(4), 40-45. Retrieved from http://sajs.redbricklibrary.com/index.php/sajs/article/view/2035
Section
Head and Neck Surgery