Thyroidectomy Under Local Anesthesia

Milan, Stacey A.; Wu, Leslie; Sosa, Julie Ann

doi:10.1007/s40137-013-0037-7

Cited by 5 publications

(2 citation statements)

References 20 publications

(25 reference statements)

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“…Keeping in view the significance and advantages of local versus general anesthesia, for the last one decade the idea to use localized anesthesia for thyroid surgeries has been continuously revisited. 9 The aim of the present study was to perform thyroidectomy under local anesthesia on the patients who were considered at high risk for general anesthesia to find out the effectiveness of this approach.…”

Section: The Study Population Included 81 Females and 19 Males With Tmentioning

confidence: 99%

Thyroidectomy Under Local Anesthesia

Kamran¹

2016

J Surg Pak

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Section: The Study Population Included 81 Females and 19 Males With Tmentioning

confidence: 99%

Thyroidectomy Under Local Anesthesia

Kamran¹

2016

J Surg Pak

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“…Thyroidectomy under local anaesthesia (LA) dates back in history. It was pioneered by Thomas Dunhill & Theodor Kocher over 100 years ago [1] [2]. As anaesthesia methods were refined and general anaesthesia became safer, LA became restricted to patients with contraindications to general anaesthesia and to patients living in medically resource-sparse locations [1].…”

Section: Introductionmentioning

confidence: 99%

Thyroidectomy under Local Anaesthesia: A Viable Option in a Resource Limited Community

Dahilo¹,

Folorunsho²,

Damtong³

et al. 2021

IJOHNS

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Background: In most centers worldwide, thyroidectomy is performed under general anaesthesia as a result of advances in anaesthetic technique, consideration for patients' safety and surgeons' convenience. However, in some developing countries such as Nigeria, facilities and expertise for general anaesthesia are not equitably distributed. As such, they are not available in some health centers especially in the rural communities. Hence, the need to explore other suitable alternatives such as operating under local anaesthesia. Aim: This study aims to highlight the feasibility and safety of thyroidectomy under local anaesthesia at a surgical outreach in a rural community in Nigeria. Patients and Methods: The study site was conducted at Bethany Medical Centre, Gboko, Benue State, Nigeria. It was a one-week surgical outreach. Neck infiltration with local anaesthesia was carried out using 2% xylocaine with adrenaline 1:200,000 and a standard open technique was used to carry out all thyroidectomies. Results: Out of seventy (70) patients that presented during the study period, 31 (44.3%) met the inclusion criteria and were operated within the seven (7) days period. There were 3 (10.7%) males and 28 (89.3%) females. There ages ranged between 22 to 65 years, average was 43 years. The average duration of surgery was 90 minutes, and 3 days' hospital stay. Those followed up two weeks post-operation recuperated well with no notable complications. Conclusion: Thyroidectomy under local anaesthesia is safe and feasible in our rural communities and in selected cases can be a suitable alternative to general anaesthesia.

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