WAYS TO IMPROVE THE RESULTS OF SURGICAL TREATMENT OF DIFFUSE TOXIC GOITER
This article discusses the problems of surgical tactics in diffuse toxic goiter and its complications both in the early postoperative period and in the long-term period. The above mentioned complications push surgeons to find a more optimal method of surgical treatment.
Aim: To improve the results of surgical treatment of patients with diffuse toxic goiter by differentiated application of surgical tactics.
Materials and methods of research: From 2016 to September 2021, 70 patients with diffuse toxic goiter were operated on in the surgical department of the University Hospital NAO "Semey Medical University", the age of patients ranged from 21 to 62 years. The average age of the patients was 36±8. Among them 56 (80%) women and 14 (20%) men. All patients are 100% of working age.
Results. In the early postoperative period, the following complications were revealed: paresis of the vocal cords in 1 (1.9%) patients, bleeding in 3 (5.8%) patients, thyrotoxic crisis in 3 (5.8%). Together with the endocrinologist, anesthesiologist-resuscitator, ENT doctor, these complications were stopped. There was no fatal outcome.
Conclusions: In our practice, we performed thyroid embolization in 18 (25.7%) patients who had a full recovery. There were no fatalities.
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Aimagambetov M.J., Omarov N.B., Mukash Ye.A., Dyussupov A.A., Bulegenov T.А., Auenov M.A., Abdrakhmanov S.T., Zharikov A.N., Korganbaeva G.A., Orynbasarov. Sh.O. Ways to improve the results of surgical treatment of diffuse toxic goiter // Nauka i Zdravookhranenie [Science & Healthcare]. 2023, (Vol.25) 4, pp. 77-85. doi 10.34689/SH.2023.25.4.009Related publications:
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