TO KNOW THE EFFICACY OF THYROIDECTOMY FOR THE MANAGEMENT OF MULTINODULAR GOITER

Objective: To evaluate the thyroid surgery results of multinodular goiter and compare total and subtotal thyroidectomy operations. Study Design: A Prospective Study. Place and duration: In the Surgical Unit I in collaboration with Head and Neck Surgery department of Services Hospital Lahore for six months duration from August 2018 to January 2019. Methods: Sixty multinodular goiter patients were included in the study. Into 2 groups, patients were divided. In 1st group subtotal thyroidectomy was done and total thyroidectomy done in other group. Data was analyzed and recorded in terms of demographic data, hospital stay, type of surgery and postoperative complications. Results: There was no vast variation between these two groups in terms of age, gender, hormonal status or goiter duration (P = 0.73, P = 0.64, P = 0.73 and P = 0.59, respectively). In both groups, the important manifestation for surgery was sudden increase in compression symptoms and size of goiter. The mean hospital stay and duration of surgery in cases of subtotal thyroidectomy was short, but there was no statistically significant variation (P> 0.06). The frequency of postoperative transient hypocalcemia was higher significantly in total thyroidectomy (P = 0.004). Although, postoperative hypocalcemia was not significantly permanent between 2 groups. Conclusion: In total thyroidectomy, permanent complications incidence is not more than subtotal thyroidectomy. Therefore, if for the first time total thyroidectomy is done for multinodular goiter, the possibility of disease recurrence can be decreased and the operation can be avoided for the second time. Key words: Subtotal thyroidectomy, total thyroidectomy goiter