Fulltext

IS IT SAFE NOT TO LIGATE THE INFERIOR THYROID ARTERY DURING SUBTOTAL THYROIDECTOMY?

Ahmed D Chiad --- Mazin H Al-Hawaz

Basrah Journal of Surgery مجلة البصرة الجراحية
ISSN: 16833589 Year: 2009 Volume: 15 Issue: 2 Pages: 20-33
Publisher: Basrah University جامعة البصرة

Abstract

Thyroid surgeries are common operations with an extremely low mortality. It is associated withspecific morbidities which are dramatically decreased due to the rapid progression in operativetechniques which helped to make the thyroid surgery less feared and better understood than itonce was. Inferior thyroid artery is one of the vital structures that require special attention duringoperative technique in order to avoid troublesome and in most cases a preventablecomplications.We conducted this study to assess the: Prevalence and significance of post-operativehypoparathyroidism following thyroid surgery, with or without inferior thyroid artery ligation.Incidence of recurrent laryngeal nerve injury with or without inferior thyroid artery ligation.Intraoperative and post operative bleeding with or without inferior thyroid artery ligation.A prospective observational study was done from June 2005 to June 2008, at Basrah GeneralHospital. One hundred and eight patients underwent subtotal thyroidectomy. Majority of them(90) patients were females. Patients were placed in two groups, Group I had inferior thyroidartery ligation whereas in Group II, inferior thyroid artery was not ligated.Analysis of data reveals that (50%) of patients in group I had hypocalcemia, (16.1%) recurrentlaryngeal nerve injury and (4.83%) hematoma, whereas in group II (47.82%) had hypocalcemia,(8.7%) recurrent laryngeal nerve injury and (2.17%) hematoma.Statistically, there is no significant difference regarding post-operative hypocalcaemia,recurrent laryngeal nerve injury and hematoma formation between truncal ligation and nonligationof inferior thyroid arteries.~ �C

Keywords

THYROID --- ARTERYTHYROIDECTOMY3