2016The Egyptian Journal of SurgeryRequires access

Intracapsular total thyroidectomy: no more complications in benign thyroid diseases

TarekM Rageh, AhmedS El Gammal, Alaa Elsisi, Ahmed Gaber

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Abstract

Introduction There is ongoing debate on the operative management strategies for benign thyroid diseases in terms of safety and efficacy. Aim This study was conducted to evaluate the results of a new intracapsular thyroidectomy technique in the management of benign thyroid diseases. Patients and methods This is a prospective study carried out in Department of General Surgery, Menoufia University Hospital, from May 2014 to March 2016 on 50 patients with benign thyroid disease who were treated with a new surgical procedure: intracapsular total thyroidectomy. Results Fifty patients underwent intracapsular total thyroidectomy. There was no patient with transient or permanent recurrent laryngeal nerve injury and no complication of external laryngeal nerve injury. There was no complication of hypoparathyroidism with decreased operative time and hospital stay either. Conclusion Intracapsular thyroidectomy is an effective and safe procedure for benign thyroid diseases and can be performed easily by junior staff.

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What this paper is about

Introduction There is ongoing debate on the operative management strategies for benign thyroid diseases in terms of safety and efficacy. Aim This study was conducted to evaluate the results of a new intracapsular thyroidectomy technique in the management of benign thyroid diseases. Patients and methods This is a prospective study carried out in Department of General Surgery, Menoufia University Hospital, from May 2014 to March 2016 on 50 patients with benign thyroid disease who were treated with a new surgical procedure: intracapsular total thyroidectomy. Results Fifty patients underwent intracapsular total thyroidectomy. There was no patient with transient or permanent recurrent laryngeal nerve injury and no complication of external laryngeal nerve injury. There was no complication of hypoparathyroidism with decreased operative time and hospital stay either. Conclusion Intracapsular thyroidectomy is an effective and safe procedure for benign thyroid diseases and can be performed easily by junior staff.

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Available abstract

Introduction There is ongoing debate on the operative management strategies for benign thyroid diseases in terms of safety and efficacy. Aim This study was conducted to evaluate the results of a new intracapsular thyroidectomy technique in the management of benign thyroid diseases. Patients and methods This is a prospective study carried out in Department of General Surgery, Menoufia University Hospital, from May 2014 to March 2016 on 50 patients with benign thyroid disease who were treated with a new surgical procedure: intracapsular total thyroidectomy. Results Fifty patients underwent intracapsular total thyroidectomy. There was no patient with transient or permanent recurrent laryngeal nerve injury and no complication of external laryngeal nerve injury. There was no complication of hypoparathyroidism with decreased operative time and hospital stay either. Conclusion Intracapsular thyroidectomy is an effective and safe procedure for benign thyroid diseases and can be performed easily by junior staff.

Key concepts: Medicine, Hypoparathyroidism, Thyroidectomy, Complication, Thyroid, Thyroid disease, Recurrent laryngeal nerve, Surgery

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