Thyroidectomy for symptomatic goitre in a field hospital setting. a general surgeon’s experience in Malaysian field hospital, Cox’s Bazaar Bangladesh

Azzam, Wazir and Razak, Asma' and Mahno, Noor Ezmas and Karim, Khasnizal (2020) Thyroidectomy for symptomatic goitre in a field hospital setting. a general surgeon’s experience in Malaysian field hospital, Cox’s Bazaar Bangladesh. ANZ Journal of Surgery, 90 (S1). p. 202. ISSN 1445-1433 E-ISSN 1445-2197

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Abstract

Purpose: To describe the experience of thyroidectomy for symptomatic goitre in a Field Hospital setting. Methodology: All patients who underwent thyroidectomy for symptomatic goitre between 1st September 2018 to 20th February 2019 were included. Preoperative, intra-operative and post-operative data were taken.Thyroid function test (TFT) was done in a nearby NGO hospital and thyrotoxicosis was treated first prior to surgery. Prophylactic antibiotics was given with IV amoxycillin/clavulanate 1.2 g. Thyroidectomy was performed in a standard form using bipolar diathermy and sutures. Drain was inserted when indicated. Post operatively serum calcium and later TFT was measured. Results: A total of 19 patients had thyroidectomy. 7 patients had hemithyroidectomy and 12 patients had total thyroidectomy. 7 patients weretoxic goitres, 4 had huge goitre with retrosternal extension and 1 patient wasrhesus negative requiring autologous blood storage preoperatively. Decision for type of surgery was done on a case to case basis. All patients had compression symptoms. Cervical and chest X-rays were taken. Ultrasound was done by the Emergency Physician. Intraoperatively there were no complica-tions, mean blood loss was 20 ml, mean operating time was 104 minutes for total thyroidectomy and 56 minutes for hemithyroidectomy. Post-operatively 1 patient had transient hoarseness of voice for 2 months,3 patients had transient mild hypocalcemia and all patients had resolution of compression symptoms. Histopathological services was not available at that time. Conclusion: Thyroidectomy in a Field Hospital setting is a feasible option in areas of prolonged crisis

Item Type:	Article (Meeting Abstract)
Additional Information:	6610/81633
Uncontrolled Keywords:	thyroidectomy, symptomatic goitre, field hospital
Subjects:	R Medicine > RD Surgery
Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button):	Kulliyyah of Medicine Kulliyyah of Medicine > Department of Surgery
Depositing User:	Dr Noor Ezmas Mahno
Date Deposited:	20 Jul 2020 15:20
Last Modified:	13 Nov 2020 13:07
URI:	http://irep.iium.edu.my/id/eprint/81633

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