Journal of BSA, Vol. 20, No. 2, July 2007 p.73-78

<p class="abstract"><strong>Background:</strong> Thyroidectomy is one of the most frequently performed surgical procedure worldwide. During the last century, it became an accepted operation. The aim of the study to observe the outcome of thyroid surgery by lateral approach.</p><p class="abstract"><strong>Methods:</strong> A prospective study was conducted in department of ENT, National institute of ENT, Tejgaon, Dhaka, Bangladesh from July 2015 to June 2019. A total number of 218 patients of thyroid surgeries were selected as a study sample by simple random sampling technique.  </p><p class="abstract"><strong>Results:</strong> In our study, male to female ratio was 1:4.3 with an age ranges from 10-70 years. Mean age was 38.5±8.10 years. Among the participants, 80 were carcinoma thyroid and 138 were benign thyroid diseases. Out of 138 benign thyroid lesions, nodular goitres were 126 (91.30%), follicular adenoma was 8 (5.79%), and toxic MNG were 4 (2.89%). Among 80 cases of carcinoma thyroid, papillary carcinoma was 75 (93.75%), follicular carcinoma was 2 (2.57%) and medullary carcinoma were 3 (3.75%). 28 patients of carcinoma thyroid presented with neck node metastasis. We could identify 382 (98.96%) of recurrent laryngeal nerves (RLN). Temporary paresis of RLN was 16 (4.16%), permanent RLN palsy was 03 (0.78%). Temporary parathyroid insufficiency was 47 (27.97%), permanent insufficiency was 2 (1.19%) up to one year follow up.</p><p class="abstract"><strong>Conclusions:</strong> Lateral approach to thyroid is a safe alternative to the standard approach for re-explorative thyroid surgery. Lateral approach to thyroid is an alternative to both conventional thyroidectomy and for parathyroid explorations.</p>

Introduction:There is a paucity of published data on the type of surgical conditions that affect the UN personnel of different countries setup and the spectrum of surgical operations performed for these patients. Such information are necessary for assessing the impact of surgical conditions, both elective and emergency, on the health of UN peacekeepers from different races and nationalities and for setting priority to improve the surgical care. Objectives:To ascertain highest possible standard of surgical care to be ensured in an international arena for optimal outcome. Results: A total 83 major, 567 minor and 3924 dressings were done. The majority of operations were emergency cases of which 73.49% were of major and 78.30% were minor surgery. While 26.50% of major and 21.69% of minor surgery were elective cases. All were male patients in cases of major operations and 93.29% for minor cases as most of the peacekeepers were male personnel. The most frequent cases were acute appendicitis, inguinal hernia and polytrauma cases. Highest number of patients was 28 (33.73%) from 26-30 years age group. There were 3 minor postoperative complications with nil mortality rates. Conclusion:The surgical unit of a level-II hospital has to work in an adverse situation of a conflict area with various limitations. So it is very important to provide highest possible standard of surgical care to be ensured in terms of staff, equipments, logistic support and with a motivated surgical team in an international arena for optimal outcome. Key-Words:Bangladesh level II hospital, UNMIL, Emergency Surgery, Elective Surgery. IntroductionThe history of disease is at least as old as the history of mankind. In ancient Egypt, papyri have been found dealing with medicine, surgery, obstetrics and gynecology. The Edwin Smith papyrus written in about 1600 BC is one of the oldest and is of great interest to surgeons. The practice of surgery had evolved from the ancient primitive ways to recent advanced surgical procedure through all these long-time 1 .Surgery is at the end of the spectrum of the classic curative medical model and as such has not been routinely considered as part of the traditional public health mode l . However, no matter how successful prevention strategies are surgical condition will always