Abstract

CASANOVA RIVERO, Alberto et al. Experience in surgery of toxic goiter. Rev Cubana Cir [online]. 2013, vol.52, n.2, pp.108-117. ISSN 0034-7493.

Introduction: a recount of hyperthyroidism and its two principal causes in which Graves-Basedow disease takes priority is made. Its diagnosis and treatment are also mentioned. Objective: to determine the surgical behavior of toxic goiter in a work group of the Surgery Service at "Amalia Simony" University Hospital in Camaguey. Methods: a transversal retrospective study about toxic goiter was conducted during 12 years. The sample was composed of 57 patients who were operated on by a work group. Clinical, diagnostic and therapeutic aspects were considered. Results: the female sex predominated between the ages of 21 and 40 years, as well as the positive results of the complementary tests performed. The most used preoperative preparation, the surgical technique applied and the complications were shown in the order of 29.81 %. Conclusions: most of the patients were women, with a mean age of 35 years; some diagnostic methods were sub-utilized; the most used preoperative preparations were propylthiouracil, propranolol and lugol. The most preformed procedure was the subtotal thyroidectomy and the complications were neither high nor serious.

Keywords : difuse toxic goiter; nodular toxic goiter; Graves-Basedow disease; morbimortality from thyroidectomy in toxic goiter.

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