Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
Abstract
Thyrotoxicosis occurs as a result of an increase in thyroid hormone synthesis and secretion by the thyroid gland and its effects on various system with altered biochemical levels. The aim is to make the patient euthyroid by preoperative treatment, intraoperative consideration, extent of resection and reduce postoperative complications like recurrent hyperthyroidism and hypothyroidism. Totally 30 patients with varied clinical presentations are confirmed to be suffering from the thyrotoxicosis and tests were appropriately evaluated and Thyrotoxicosis controlled and consented patients were operated. This most commonly manifests as Diffuse Toxic Goiter and Toxic multinodular goiter. The management of thyrotoxicosis is based on three treatment modalities, namely anti‐thyroid medication, radioactive iodine ablation or surgery. The present study of 30 cases, 23 presented with TMNG and 7 being diffuse toxic goiter (primary thyrotoxicosis). Over al incidence of Hypocalcemia stands at 6.67%. one case of wound infection was seen and documented in this study with overall incidence of 3.33%. There were zero case of scar hypertrophy. Surgery increasingly plays an important role in the management of thyrotoxicosis with immediate and has evolved into a cost‐effective treatment with minimal associated morbidity and mortality. Total thyroidectomy is the surgery of choice in Graves’ disease, while a total thyroidectomy or thyroid lobectomy are utilized in patients with toxic nodular goiters. Although thyroid surgery can be associated with significant complications, in high volume operative centers surgery provides effective long‐lasting resolution of hyperthyroidism and therefore should be considered an integral component of treatment rather than the last resort of clinicians. Surgery should be proposed as an immediate and completely effective solution for thyrotoxicosis, especially when compared with prolonged medical therapy, because it can provide a demonstrable improvement in quality of life (QOL) of the patients.
How to cite this article:
K. Murali Mohan and Vijaya Bhaskar Reddy. A Prospective Observational Study on Surgical Management of Thyrotoxicosis.
DOI: https://doi.org/10.36478/10.36478/makrjms.2021.6.136.140
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2021.6.136.140