الفهرس Only 14 pages are availabe for public view
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Abstract
The extent of thyroidectomy in thyrotoxic goiter is still a matter of debate and shows a large spectrum of management strategies, from nodulectomy to total thyroidectomy
The aim of all these procedures is to perform the most effective treatment with the less complications, without the incidence of recurrence and without the need for secondary surgical intervention which will be very difficult and hazardous due to disturbed anatomy and adhesions with a high incidence of RLNI and /or hypoparathyroidism
This work aimed to compare the incidence of complication and surgical outcome in patients operated upon for toxic multinodular goiter and graves’ disease applying both modalities of surgery i.e. total and subtotal thyroidectomy discussing different opinions with and against applying total or subtotal thyroidectomy in Toxic MNG&Graves’ disease
This study points out to the most important complication of subtotal thyroidectomy which is recurrence of hyperthyroidism; a complication which is absent in case of total thyroidectomy. Recurrence takes the patient to the risk of secondary management either by radioactive iodine or secondary surgical intervention which will be very difficult and hazardous due to disturbed anatomy and adhesions increasing the risk of RLNI and /or hypoparathyroidism
Our work comprised 30 patients with thyrotoxic goiter who were candidates for surgical interference