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

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...

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Main Authors: Azzam, Wazir, Razak, Asma', Mahno, Noor Ezmas, Karim, Khasnizal
Format: Article
Language:English
Published: Wiley-Blackwell 2020
Subjects:
RD Surgery
Online Access:http://irep.iium.edu.my/81633/2/ans.15852.pdf
http://irep.iium.edu.my/81633/
https://onlinelibrary.wiley.com/doi/full/10.1111/ans.15852
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spelling my.iium.irep.816332020-11-13T05:07:25Z http://irep.iium.edu.my/81633/ Thyroidectomy for symptomatic goitre in a field hospital setting. a general surgeon’s experience in Malaysian field hospital, Cox’s Bazaar Bangladesh Azzam, Wazir Razak, Asma' Mahno, Noor Ezmas Karim, Khasnizal RD Surgery 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 Wiley-Blackwell 2020-06-04 Article PeerReviewed application/pdf en http://irep.iium.edu.my/81633/2/ans.15852.pdf 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 https://onlinelibrary.wiley.com/doi/full/10.1111/ans.15852 10.1111/ans.15852
institution Universiti Islam Antarabangsa Malaysia
building IIUM Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider International Islamic University Malaysia
content_source IIUM Repository (IREP)
url_provider http://irep.iium.edu.my/
language English
topic RD Surgery
spellingShingle RD Surgery
Azzam, Wazir
Razak, Asma'
Mahno, Noor Ezmas
Karim, Khasnizal
Thyroidectomy for symptomatic goitre in a field hospital setting. a general surgeon’s experience in Malaysian field hospital, Cox’s Bazaar Bangladesh
description 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
format Article
author Azzam, Wazir
Razak, Asma'
Mahno, Noor Ezmas
Karim, Khasnizal
author_facet Azzam, Wazir
Razak, Asma'
Mahno, Noor Ezmas
Karim, Khasnizal
author_sort Azzam, Wazir
title Thyroidectomy for symptomatic goitre in a field hospital setting. a general surgeon’s experience in Malaysian field hospital, Cox’s Bazaar Bangladesh
title_short Thyroidectomy for symptomatic goitre in a field hospital setting. a general surgeon’s experience in Malaysian field hospital, Cox’s Bazaar Bangladesh
title_full Thyroidectomy for symptomatic goitre in a field hospital setting. a general surgeon’s experience in Malaysian field hospital, Cox’s Bazaar Bangladesh
title_fullStr Thyroidectomy for symptomatic goitre in a field hospital setting. a general surgeon’s experience in Malaysian field hospital, Cox’s Bazaar Bangladesh
title_full_unstemmed Thyroidectomy for symptomatic goitre in a field hospital setting. a general surgeon’s experience in Malaysian field hospital, Cox’s Bazaar Bangladesh
title_sort thyroidectomy for symptomatic goitre in a field hospital setting. a general surgeon’s experience in malaysian field hospital, cox’s bazaar bangladesh
publisher Wiley-Blackwell
publishDate 2020
url http://irep.iium.edu.my/81633/2/ans.15852.pdf
http://irep.iium.edu.my/81633/
https://onlinelibrary.wiley.com/doi/full/10.1111/ans.15852
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score 13.211869

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