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Zentralbl Chir ; 114(9): 571-6, 1989.
Artigo em Alemão | MEDLINE | ID: mdl-2741581

RESUMO

In the present retrospective study we examine the complications arising from simple goiter operations based on the analysis of 2,035 cases. The mortality rate is extremely low (0.3%). The most typical intraoperative complications - such as unilateral vocal cord paralysis (1.6%) and permanent parathyroprival hypocalcemia (0.4%) were observed to occur much more frequently in cases of subtotal thyroidectomy than in those of partial resection. - As a result of the introduction of synthetic reabsorbent sewing materials, healing problems have been drastically reduced (0.4%). Hypothyreosis and goiter recurrence can be avoided in cases of subtotal thyroidectomy by life-long and individually adjusted administration of thyroid hormones (rate of incidence in our study 3.1%). - In our view a subtotal thyroidectomy is indicate in cases where malignity is suspected (one or more cold nodules).


Assuntos
Bócio Endêmico/cirurgia , Complicações Intraoperatórias/etiologia , Complicações Pós-Operatórias/etiologia , Tireoidectomia/métodos , Adulto , Idoso , Feminino , Doença de Graves/cirurgia , Humanos , Traumatismos do Nervo Laríngeo , Masculino , Pessoa de Meia-Idade , Glândulas Paratireoides/lesões , Traumatismos do Nervo Laríngeo Recorrente , Estudos Retrospectivos , Fatores de Risco , Neoplasias da Glândula Tireoide/cirurgia , Cicatrização
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