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Updates in Surgery
Published in: Updates in Surgery 2/2017

01-06-2017 | Review Article

How to avoid and to manage post-operative complications in thyroid surgery

Authors: Matteo Angelo Cannizzaro, Salvatore Lo Bianco, Maria Carolina Picardo, Daniele Provenzano, Antonino Buffone

Published in: Updates in Surgery | Issue 2/2017

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Abstract

Complications of thyroidectomy are hypoparathyroidism, recurrent laryngeal nerve palsy, and hemorrhage. These complications have a low incidence. Hypoparathyroidism is the most frequent complication of total thyroidectomy. Its incidence varies between 0.5 and 65%. This complication is also visible after reoperation for recurrent disease and in patients previously treated with radioiodine. Damage to the recurrent laryngeal nerve can be temporary or permanent, unilateral or bilateral. The bilateral lesion, associated with severe episodes of breathlessness, is a rare complication (0.4%). Intraoperative control of nerves is crucial to prevent damage. The hematoma creates an obstacle to venous and lymphatic flow and consequently breathing difficulties. The preventive hemostasis during surgery is important. Therapeutic treatment is described.
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Metadata
Title
How to avoid and to manage post-operative complications in thyroid surgery
Authors
Matteo Angelo Cannizzaro
Salvatore Lo Bianco
Maria Carolina Picardo
Daniele Provenzano
Antonino Buffone
Publication date
01-06-2017
Publisher
Springer Milan
Published in
Updates in Surgery / Issue 2/2017
Print ISSN: 2038-131X
Electronic ISSN: 2038-3312
DOI
https://doi.org/10.1007/s13304-017-0475-3

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