Indications and Morbidity of Reoperative Thyroid Surgeries in a Military Hospital of Senegal

Abstract

Objectives To describe reoperative thyroid surgeries in our department. Study Design Retrospective cross-sectional and descriptive study at the Ouakam Military Hospital in Dakar (Senegal), over a period of eight and a half years. Methods The study involved all records of patients who had a reoperative thyroidectomy regardless of the indication and time of the second surgery. Parameters evaluated for first and reoperative surgery were time interval between the two surgeries, operative indications, surgical procedures, intraoperative findings, pathological examination, and morbidity. Results 30 records of patients were selected out of a total of 698 thyroidectomies (4.3%). Thyroid cancers diagnosed on first surgical specimens were the first indications of reoperations (46.67%) followed by neck hematoma (20%). Completion thyroidectomy with a prophylactic central lymph nodes dissection was the most performed surgical procedure (43.33%) followed by haemostasis (20%). During reoperation, we found active bleeding (20%), textiloma (6.67%), and fourth branchial cleft fistula (3.33%). The morbidity accounted for 10%: lymphorrhea, permanent hypocalcemia, and permanent recurrent nerve palsy, in one case, respectively. There were no statistically significant differences between the morbidity in patients reoperated on and the one for patients operated on once. Conclusion We did not find an increased risk of postoperative morbidity after reintervention.

EDB-FN targeted probes for the surgical navigation, radionuclide imaging, and therapy of thyroid cancer

“…The current surgical methods of TC usually rarely lead to the complete removal of all tumor tissue, and they might cause parathyroid injury [20,21]. Although MTC and ATC resection can improve the prognosis, some patients miss the opportunity for surgery because complete surgical resection is not achieved [22].…”

Correlation between Age, Nodule Diameter, and TI-RADS Score in Thyroid Nodule Classification on Follicular Thyroid Carcinoma

“…An example is more than one operation on the thyroid; this can cause fibrotic tissue in the thyroid which makes it difficult for the surgeon to identify the n. recurrent laryngeal and parathyroid glands. So that repeated operations have two of the most common risks, namely injury to n. laryngeal recurrences and elevation of the parathyroid glands 13,15 .…”