Surgery Of Thyroid Disorders

Abstract

Diseases of the thyroid gland are a common medical problem I see in my own private clinic in Baghdad.Amongst 1250 cases during the peroid from 1995-2016 included, 723 were subjected to surgery ( 57.8%) for multinodular goitre, solitary thyroid nodule, thyrotoxic goitre after failure of medical treatment & preop. preparation The majority were females ( 532, 73.5%) between (29-48 years) and males constitute only (191/26.41% ). Surgery was ranging between Total thyroidectomy & Subtotal thyroidectomy though few cases under- went only right or left lobectomy. Malignant cases were rare (11 Cases 2%) & all were papillary carcinoma. the neck and that moves on swallowing and it might be a multinodular or mass Goitre is solitary thyroid gland commonly due to functional enlargement and called physiological goitre¹ which is commomly due to iodine defeciency and usually seen in young adults especially in females. Multinodular goitre is commomly seen in adult females and particularly in multiparous ladies and if left untreated it might convert to toxic one with subsequent cardiac complications. Toxic diffuse goitre or Graves's disease is an uncommon thyroid gland disorder I have encountered² & usually associated with neuropathies and exophthalmos. In cases of thyrotoxicosis surgery is always presceded by preop. Preparation to avoid fatal thyroid crisis. Total thyroidectomy is the treatment of choice for toxic goitre followed by balanced postoperative therapy. thyroxine replacement