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East and Central African Journal of Surgery
Association of Surgeons of East Africa and College of Surgeons of East Central and Southern Africa
ISSN: 1024-297X
EISSN: 2073-9990
Vol. 9, No. 1, 2004, pp. 87-93
Bioline Code: js04020
Full paper language: English
Document type: Research Article
Document available free of charge

East and Central African Journal of Surgery, Vol. 9, No. 1, 2004, pp. 87-93

 en The Patterns Of Surgical Thyroid Diseases And Operative Treatment In Gondar College of Medical sciences, North-western Ethiopia
Abebe B., Girmaye T., Mensur O., Sentayehu T., Sissay B

Abstract


Background: Goitre is defiied as enlargement of the thyroid gland that normally weighs 25-30g.
Methods: This was a retrospective review aimed at determining the incidence, pattern, pathology, postoperative complications of 137 cases of goitre operated at the Gondar College of Medical sciences, Ethiopia, over a period of four years were reviewed.
Results: The female to male ratio was 5:2 and the mean age of patients was 32.3 years. The mean duration of illness was 9.1 years. The commonest reasons for seeking medical attention were bulk of the mass (82%), rapid growth (9.5%) and compressive symptoms (2.9%). The goitre size was grade III and above in 83.1% of thepatients. There were 14 (10.2%) thyroid carcinomas. Follicular carcinoma was the most common type of malignancy. Thyroiditis and toxic goitres were seen in 8 and 5 of the patients respectively. Subtotal thyroideaomy and lobectomywere the commonest procedures done. A total of 36 post-thyroidectomy complications occurred in 20 patients. Eight patients developed airway obstruction six of them requiring tracheostomy. Eleven patients (8%) had blood transfusion. The postoperative mortality was 1.5%.
Conclusion: The pattern of goitre was found to be similar to other reports and post thyroidectomy complications in the acceptable range.

Keywords
Goitre, thyroid, pattern, thyroidectomy, post thyroidectomy complications

 
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