A Three Year Experience with Conventional Thyroidectomy (Subtotal Thyroidectomy) in the Management of Simple Goitres in Bingham University Teaching Hospital Jos
Nimkur Lohpon Tonga,
Okoye Chukuma,
Audu Modu,
Zang Chuwang Nyam
Issue:
Volume 1, Issue 2, June 2022
Pages:
9-12
Received:
21 February 2022
Accepted:
21 March 2022
Published:
31 May 2022
DOI:
10.11648/j.ijmcr.20220102.11
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Abstract: Introduction: Thyroidectomy is the surgical procedure for the reduction or total removal of the thyroid gland – to achieve aesthesis or functional changes resulting from enlargement and pressure on the trachea or hyper function of the gland. Thyroidectomy as a procedure has developed significantly due to more understanding of the anatomy of the neck and the surgical technique. Thyroidectomy has common complications related to the procedure which include – haematoma formation, laryngeal nerve palsy and hypocalcaemia, depending on the nature of the procedure, the expertise of the surgeon involved and the technique. Method: A retrospective study over a three year period (Jan 2018-Dec 2020). Case notes were retrieved and the gender, age, indications, outcome of surgeries noted and analysed with the aim of highlighting the complications observed with conventional thyroidectomy in line with the expertise of the surgeon, the use of nerve monitor, pre/post operative vocal cord assessment and the use of suction drain to eliminate or reduce the complications. Results: 48 cases were included in the study, 42 females (87.5%) and 6 males (12.5%); male:female=1:7. Age range is 17 to 60 years (mean age-39.48). Patients were all euthyroid before surgery, all were FNAC negative for malignant features, subtotal thyroidectomy was performed for all patients, no permanent laryngeal nerve palsy or permanent hypocalcaemia and no haematoma formation in this study. Conclusion: Conventional thyroidectomy in a less technologically advanced environment with less prospects of replacement therapy can be practiced safely with minimal complications.
Abstract: Introduction: Thyroidectomy is the surgical procedure for the reduction or total removal of the thyroid gland – to achieve aesthesis or functional changes resulting from enlargement and pressure on the trachea or hyper function of the gland. Thyroidectomy as a procedure has developed significantly due to more understanding of the anatomy of the nec...
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Benign Pneumoperitoneum After Diagnostic Colonoscopy in a Patient Followed Up for Crohn's Disease
Ferdaouss Lamarti,
Mohamed Borahma,
Nawal Lagdali,
Imane Benelbarhdadi,
Fatima-Zohra Ajana,
Omar El Aoufir,
Laila Laamrani
Issue:
Volume 1, Issue 2, June 2022
Pages:
13-16
Received:
13 May 2022
Accepted:
30 May 2022
Published:
16 June 2022
DOI:
10.11648/j.ijmcr.20220102.12
Downloads:
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Abstract: Colonoscopy is a safe procedure with a low incidence of complications. Perforation is the complication most feared by the gastroenterologist. The management of benign pneumoperitoneum after colonoscopy is controversial. It is defined as asymptomatic free intra-abdominal air or as pneumoperitoneum without peritonitis. It may not require treatment. We present this case because of its rarity and controversial treatment options. This is a 46-year-old patient followed for luminal colic Crohn's disease under Adalimumab admitted to a day hospital for a colonoscopy in the context of monitoring. The latter had objectified a severe left flare and was not totaled because of the risk it ran for the patient. On waking, the patient presented with diffuse abdominal pain that resolved after gas evacuation. An abdominal CT scan was nevertheless performed, showing right prehepatic and pericolic pneumoperitoneum without peritoneal effusion. It was decided in consultation with the surgeons to opt for digestive rest and to keep the patient under strict surveillance without starting any treatment given that the patient was asymptomatic, afebrile, hemodynamically stable and the abdominal examination was strictly normal. The patient showed no clinical worsening during the follow-up and the pneumoperitoneum clearly regressed on the follow-up CT scan. It is necessary in case of pneumoperitoneum to confront the imaging to the clinic by remaining above all a clinician in order to be able to reserve conservative treatment for well-chosen patients.
Abstract: Colonoscopy is a safe procedure with a low incidence of complications. Perforation is the complication most feared by the gastroenterologist. The management of benign pneumoperitoneum after colonoscopy is controversial. It is defined as asymptomatic free intra-abdominal air or as pneumoperitoneum without peritonitis. It may not require treatment. W...
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