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BENİGN TİROİD CERRAHİSİNDE POSTOPERATİF KOMPLİKASYONLARI ETKİLEYEN RİSK FAKTÖRLERİ

Year 2002, Volume: 3 Issue: 3, 25 - 29, 01.12.2002

Abstract

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References

  • 1. Thomusch O, Machens A, Sekulla C, Ukkat J, Lippert H, Gastinger I, Dralle H. Multivariate analysis of risk factors for postoperative complications in benign goiter surgery: Prospective multicenter study in Germany. World J Surg 2000;24:1335-1341.
  • 2. Budak D, Özarmaðan S, Mercan S, Aren A, Molvalýlar Þ. Tiroid cerrahisinin komplikasyonlarý: 1244 olgunun analizi. Ulusal Cerrahi Dergisi 1990;6:29-32.
  • 3. Tontuþ Ö, Gönül E, Karakaþ E, Mavili S. Tiroid cerrahisinde postoperatif erken dönem komplikasyonlar. Klin Deney Cerrah Derg 1994;2:98- 101.
  • 4. Pappalardo G, Guadalaxara A, Frattaroli FM, Ýllomei G, Falaschi P. Total compared with subtotal thyroidectomy in benign nodular disease: Personal series and review of published reports. Eur J Surg 1998;164:501-506.
  • 5. Mishra A, Agarwal G, Agarwal A, Mishra SK. Safety and efficacy of total thyroidectomy in hands of endocrine surgery trainees. Am J Surg 1999;178:377- 380.
  • 6. Özarmaðan S, Erbil Y, Bozbora A, Berber E, Seven R. Tiroid cerrahisinde primer ve reoperatif giriþimlerin karþýlaþtýrýlmasý. Klin Deney Cerrah Derg 1997;5:7- 11.
  • 7. Erbil Y, Özarmaðan S, Berber E, BozboraA, Molvalýlar S. Hipertiroidide cerrahinin yeri. Klin Deney Cerrah Derg 1997;5:140-144.
  • 8. Barrett RM, Crumley R, Jalilie S, Segina D, Allison G, Marshak D, Chan E. Complications of thyroid surgery. Int Surg 1997;82:63-66.
  • 9. Benoit H, L'Helgouarc'h JL, Goudet P, Cougard P. Value of a single low-pressure drain in the postoperative care of bilateral thyroidectomies. Retrospective comparison with bilateral Redon drains. Ann Chir 1999;53:123-126 (Abstract).
  • 10. Tabaqchali MA. Drains for thyroidectomy/ parathyroidectomy: fact or fiction?. Ann R Coll Surg Engl 1999;81:302-305.
  • 11. Wilson RB, Erskine C, Crowe PJ. Hypomagnesemia and hypocalcemia after thyroidectomy: prospective study.World J Surg 2000;24:722-726.
  • 12. Gürleyik E, ÖzantA, Gürleyik G, Ünalmýþer S, Özdede S. Posttiroidektomik hipokalsemi oluþmasýnda inferior tiroid arter baðlanmasýnýn etkisi. Ulusal Cerrahi Dergisi 1994;10:110-114.
  • 13. Süt S, Kurt N, Yýldýrým M, Vural S, Kurt C, Gülmen M. Bilateral subtotal tiroidektomilerde inferior tiroid arterlerin baðlanmasý paratiroid fonksiyonlarýný etkiliyor mu? Ulusal Cerrahi Dergisi 1996;12:293- 298.
  • 14. Miller FR, Nettervile JL. Surgical management of thyroid and parathyroid disorders. Medical Clin North Am 1999;83:247-259.
  • 15. Giovanni C. Total thyroidectomy with identification of parathyroid glands. Functional implications. Ann Ital Chir 1999;70:393-396 (Abstract).
  • 16. Gürel M, Alýç B, Erdem G, Baç B. Arteria tiroidea inferior ligasyon seviyesinin serum kalsiyum düzeyine etkisi. Dicle Üni. Týp Fak: Dergisi 1989;16:86-91.
  • 17. Moley JF, Lairmore TC, Doherty GM, Brunt ML, DeBenedetti MK. Preservation of the recurrent laryngeal nerves in thyroid and parathyroid reoperations. Surgery 1999;125:673-679.
  • 18. Lo C, Kwok K, Yuen P. A prospective evaluation of recurrent laryngeal nerve paralysis during thyroidectomy.Arch Surg 2000;135:204-207.
  • 19. Wagner HE, Seiler C: Recurrent laryngeal nerve palsy after thyroid gland surgery. Br J Surg 1994;81:226.

The Effective Risk Factors on Postoperative Complications in Benign Thyroid Surgery

Year 2002, Volume: 3 Issue: 3, 25 - 29, 01.12.2002

Abstract

Aim: The aim of this study is to investigate the risk factors for postoperative complications after benign thyroid surgery. The most frequent complications after thyroid surgery are recurrent laryngeal nerve and superior laryngeal nerve injury, hypoparathyroidism, bleeding, hematoma, wound infection and flap edema. These complications may influence the life quality of the patient. Method: In Adnan Menderes University Department of General Surgery, 224 patients who underwent thyroid surgery were evaluated retrospectively for postoperative complications. Age, gender, antithyroideal treatment, thyroid disease, recurrent goitre, ligation of inferior thyroid artery, identification of nervus recurrens and parathyroid glands, extent of resection and usage of drains were investigated for morbidity. Total thyroidectomy was found to be the only statistically significant (p=0.001) risk factor. Conclusion: The complication risk following wide resection of the thyroid gland should be prevented by a meticulous surgicaltechnique.

References

  • 1. Thomusch O, Machens A, Sekulla C, Ukkat J, Lippert H, Gastinger I, Dralle H. Multivariate analysis of risk factors for postoperative complications in benign goiter surgery: Prospective multicenter study in Germany. World J Surg 2000;24:1335-1341.
  • 2. Budak D, Özarmaðan S, Mercan S, Aren A, Molvalýlar Þ. Tiroid cerrahisinin komplikasyonlarý: 1244 olgunun analizi. Ulusal Cerrahi Dergisi 1990;6:29-32.
  • 3. Tontuþ Ö, Gönül E, Karakaþ E, Mavili S. Tiroid cerrahisinde postoperatif erken dönem komplikasyonlar. Klin Deney Cerrah Derg 1994;2:98- 101.
  • 4. Pappalardo G, Guadalaxara A, Frattaroli FM, Ýllomei G, Falaschi P. Total compared with subtotal thyroidectomy in benign nodular disease: Personal series and review of published reports. Eur J Surg 1998;164:501-506.
  • 5. Mishra A, Agarwal G, Agarwal A, Mishra SK. Safety and efficacy of total thyroidectomy in hands of endocrine surgery trainees. Am J Surg 1999;178:377- 380.
  • 6. Özarmaðan S, Erbil Y, Bozbora A, Berber E, Seven R. Tiroid cerrahisinde primer ve reoperatif giriþimlerin karþýlaþtýrýlmasý. Klin Deney Cerrah Derg 1997;5:7- 11.
  • 7. Erbil Y, Özarmaðan S, Berber E, BozboraA, Molvalýlar S. Hipertiroidide cerrahinin yeri. Klin Deney Cerrah Derg 1997;5:140-144.
  • 8. Barrett RM, Crumley R, Jalilie S, Segina D, Allison G, Marshak D, Chan E. Complications of thyroid surgery. Int Surg 1997;82:63-66.
  • 9. Benoit H, L'Helgouarc'h JL, Goudet P, Cougard P. Value of a single low-pressure drain in the postoperative care of bilateral thyroidectomies. Retrospective comparison with bilateral Redon drains. Ann Chir 1999;53:123-126 (Abstract).
  • 10. Tabaqchali MA. Drains for thyroidectomy/ parathyroidectomy: fact or fiction?. Ann R Coll Surg Engl 1999;81:302-305.
  • 11. Wilson RB, Erskine C, Crowe PJ. Hypomagnesemia and hypocalcemia after thyroidectomy: prospective study.World J Surg 2000;24:722-726.
  • 12. Gürleyik E, ÖzantA, Gürleyik G, Ünalmýþer S, Özdede S. Posttiroidektomik hipokalsemi oluþmasýnda inferior tiroid arter baðlanmasýnýn etkisi. Ulusal Cerrahi Dergisi 1994;10:110-114.
  • 13. Süt S, Kurt N, Yýldýrým M, Vural S, Kurt C, Gülmen M. Bilateral subtotal tiroidektomilerde inferior tiroid arterlerin baðlanmasý paratiroid fonksiyonlarýný etkiliyor mu? Ulusal Cerrahi Dergisi 1996;12:293- 298.
  • 14. Miller FR, Nettervile JL. Surgical management of thyroid and parathyroid disorders. Medical Clin North Am 1999;83:247-259.
  • 15. Giovanni C. Total thyroidectomy with identification of parathyroid glands. Functional implications. Ann Ital Chir 1999;70:393-396 (Abstract).
  • 16. Gürel M, Alýç B, Erdem G, Baç B. Arteria tiroidea inferior ligasyon seviyesinin serum kalsiyum düzeyine etkisi. Dicle Üni. Týp Fak: Dergisi 1989;16:86-91.
  • 17. Moley JF, Lairmore TC, Doherty GM, Brunt ML, DeBenedetti MK. Preservation of the recurrent laryngeal nerves in thyroid and parathyroid reoperations. Surgery 1999;125:673-679.
  • 18. Lo C, Kwok K, Yuen P. A prospective evaluation of recurrent laryngeal nerve paralysis during thyroidectomy.Arch Surg 2000;135:204-207.
  • 19. Wagner HE, Seiler C: Recurrent laryngeal nerve palsy after thyroid gland surgery. Br J Surg 1994;81:226.
There are 19 citations in total.

Details

Other ID JA55BE43ZP
Journal Section Research Article
Authors

Ali Doğan Bozdağ This is me

Mehmet Hakan Çevikel This is me

Ahmet Ender Demirkıran This is me

Hakan Erpek This is me

Şükrü Boylu This is me

Hedef Özgün This is me

Publication Date December 1, 2002
Published in Issue Year 2002 Volume: 3 Issue: 3

Cite

EndNote Bozdağ AD, Çevikel MH, Demirkıran AE, Erpek H, Boylu Ş, Özgün H (December 1, 2002) The Effective Risk Factors on Postoperative Complications in Benign Thyroid Surgery. Meandros Medical And Dental Journal 3 3 25–29.