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World Journal of Surgery

Published in:

01-06-2006

Subtotal Thyroidectomy for Benign Multinodular Goiter: A 6-Month Postoperative Study of the Remnant’s Function and Sonographic Aspect

Authors: Fawzy Bakiri, MD, Menad Hassaïm, MD, Mohamed-Sadreddine Bourouba, MD

Published in: World Journal of Surgery | Issue 6/2006

Abstract

Background

The purpose was to evaluate the thyroid function after subtotal thyroidectomy.

Methods

One hundred and nineteen patients operated on for multinodular benign goiter were included in this prospective study. Results of the surgical treatment were evaluated 6 months after operation by thyroid-stimulating hormone (TSH) assay and cervical echography.

Results

Thyroid-stimulating hormone levels correlated inversely (r = −0.78) with the thyroid remnant volumes. Forty-seven patients presented with a hypoechoic aspect of the remnant. Isoechoic and hypoechoic remnant volumes were similar; however, 46 of the 47 patients with a hypoechoic remnant (97.9%) had TSH levels higher than 5 mU/l vs. 39 of the 72 patients (54.2%) with an isoechoic aspect. No predictive factor for the occurrence of this hypoechoic feature was found.

Conclusions

After sub-total thyroidectomy for benign multinodular goiter, the volume of the remnant is not the only determinant of the occurrence of postoperative hypothyroidism. The appearance of a hypoechoic aspect of the remnant is also a strong predictive factor for such an outcome. In this case the occurrence of hypothyroidism is quite constant whatever the volume of the thyroid remnant. Since this evolution toward a hypoechoic aspect of the remnant is unpredictable, our results are an additional argument in favor of total thyroidectomy for benign multinodular goiter.

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Title: Subtotal Thyroidectomy for Benign Multinodular Goiter: A 6-Month Postoperative Study of the Remnant’s Function and Sonographic Aspect
Authors: Fawzy Bakiri, MD
Menad Hassaïm, MD
Mohamed-Sadreddine Bourouba, MD
Publication date: 01-06-2006
Publisher: Springer-Verlag
Published in: World Journal of Surgery / Issue 6/2006
Print ISSN: 0364-2313
Electronic ISSN: 1432-2323
DOI: https://doi.org/10.1007/s00268-005-0570-3

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Subtotal Thyroidectomy for Benign Multinodular Goiter: A 6-Month Postoperative Study of the Remnant’s Function and Sonographic Aspect

Abstract

Background

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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