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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| Format: | Article |
| Language: | English |
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Wiley-Blackwell
2020
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| Online Access: | http://irep.iium.edu.my/81633/ http://irep.iium.edu.my/81633/2/ans.15852.pdf |
| _version_ | 1848789159456538624 |
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| 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 |
| building | IIUM Repository |
| collection | Online Access |
| 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 |
| first_indexed | 2025-11-14T17:52:17Z |
| format | Article |
| id | iium-81633 |
| institution | International Islamic University Malaysia |
| institution_category | Local University |
| language | English |
| last_indexed | 2025-11-14T17:52:17Z |
| publishDate | 2020 |
| publisher | Wiley-Blackwell |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | iium-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 |
| 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 |
| title | 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_short | 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 |
| topic | RD Surgery |
| url | http://irep.iium.edu.my/81633/ http://irep.iium.edu.my/81633/ http://irep.iium.edu.my/81633/ http://irep.iium.edu.my/81633/2/ans.15852.pdf |