Total thyroidectomy is the removal of the thyroid gland full particulars of which are perfectly codified and the postoperative course is usually very simple. The management of these different operating times and better knowledge of incidents and accidents to prevent, were the main objectives of our study; For this, we conducted a prospective study, from July 2013 to June 2014 at the central operating block A2 in the CHU Hassan II of Fez. 150 patients were collected with frank female (sex ratio 8/1) and a mean age of 45 years. The clinic was dominated by signs of thyrotoxicosis which were found in all patients, compression signs were found in 10patients (6.6% of patients). The exploration has identified 95 cases of toxic goiter multihétéronodulaite (63.3%), 15 cases of goiter prétoxiques (10%), 22 cases of Graves’ disease (14.6%) and 18 cases of toxic adenomas (12%). 129 patients underwent a preparation by antithyroid drugs (86%), which led operated 85.7% of our patients euthyroid, the remaining patients were operated as part of the emergency (compression etc. ). The postoperative course was often simple, 72% of patients had no unexpected complications, while 16% (24 patients) developed postoperative hypocalcemia, 14.6% (22 cases) recurrent laryngeal paralysis (11.6% transient and 3% final ), 11.3% was the incidence of hematoma in thyroid houses (17 patients) and 1.3% of the superior laryngeal nerve paralysis (2 patients). Serious complications are rare after thyroidectomy, but the rate of minor complications and sequelae is not negligible, they generate extra hospitalization and may require specialized care and monitoring, their management should be multidisciplinary
| Référence | 1469 |
| Année | 2014 |
| Type | Thèse |
| Lien document | |
| Auteur | Tahsse D |
| Discipline | Réanimation Polyvalente 1 |
| Encadrant | Khatouf M |
