2021, Number 4
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Correo Científico Médico 2021; 25 (4)
Characterization of thyroid operated patients in the two provincial hospitals from Holguin
Solarana OJA, Guzmán LDJ, Santiesteban CNB, Rodríguez PY, Batista PR, Cuello BEJ
Language: Spanish
References: 15
Page:
PDF size: 362.31 Kb.
ABSTRACT
Introduction: There is a worldwide increase of thyroid diseases which makes it necessary to diagnose and treat them properly.
Objective: To characterize thyroid operated patients.
Methods: A retrospective descriptive study was carried out in patients who underwent thyroid surgery in Lucía Íñiguez Landín and Vladimir I. Lenin hospitals from Holguín, during the period from January 2018 to December 2019. The universe consisted of 178 patients, from both sexes without distinction of race, who went to consultation due tothyroid surgical conditions and the sample was made up of 132 operated patients.
Results: Female sex, between the fourth and sixth decade of life,predominated with 60.6%, as well as benign thyroid conditions with category-2 Bethesda according to fine needle aspiration cytology (FNAC), in 32.6% of patients. Right lobe disorders prevailed; however, total thyroidectomy was performed more frequently in 56.8% of those operated on. The most evident complications were nerve injury with 7.6% and hypoparathyroidism with 6%; as apermanent sequelae, hypothyroidism prevailed in 62.1%.
Conclusions: Thyroid surgical conditions are more frequent in females between the fourth and sixth decades of life, especially those that are benign. The surgeon's experience and the extent of the thyroidectomy have a direct influence on the incidence of complications that prolong hospital stay of patients and force reoperation for different reasons. Nerve injury and hypoparathyroidism are complications with a high incidence at present.
REFERENCES
Navarro Despaigne DA. Enfermedades del tiroides en Cuba. Rev Cubana Endocrinol.2012[citado 15/08/2021];23(3):198-202.Disponible en:http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1561-29532012000300002
TurciosTristá SE,Infante AmorósA,González Rivero L. RevCubana Endocrinol.2012[citado 26/08/2020];23(3).Disponible en:http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1561-29532012000300008&lng=es&nrm=iso&tlng=es
Iglesias Díaz G, García García I, Correa Martínez L. Características clínico- epidemiológicas de pacientes operados de bocio coloide reintervenidos por recidiva. Medisur. 2015 [citado 19 /11/2015];13(5). Disponible en: http://medisur.sld.cu/index.php/medisur/article/view/2937
Sahu N, Padhy RN. Bayesian analysis of high resolution ultrasonography and guided fine needle aspiration cytology in diagnosis of palpable thyroid nodules. Braz J Otorhinolaryngol. 2018[citado 14/08/2020];84(1).Disponible en:https://www.scielo.br/j/bjorl/a/NKLfXs8WffJ5RYZ5C5bTYzM/abstract/?lang=en
Lezcano Bonzi MJ, Adorno A. Frecuencia de patología tiroidea maligna en pacientes tiroidectomizados con diagnóstico de bocio multinodular. CirParag. 2018 [citado 15/02/2020];42(1):19-23.Disponible en: http://scielo.iics.una.py/pdf/sopaci/v42n1/2307-0420-sopaci-42-01-19.pdf
Hernández Puentes YZ, Álvarez Aldana D, Hornedo Ramírez J. Punción- aspiración con aguja fina en las lesiones tiroideas. Rev Cubana Invest Bioméd.2015 [citado 14/08/2021];34(1):27-32.Disponible en:http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S086403002015000100003&lng=es.
Sosa Martín G, Ernand Rizo S. Aspectos actuales del carcinoma bien diferenciado de tiroides. Rev Cubana Cir. 2016[citado 25/03/2018];55(1).Disponible en:http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0034-74932016000100006
Reyes Domínguez Y, Moró Vela RÁ, Ramírez Núñez E, David Cardona L. Cáncer de tiroides en el Hospital “Dr. Agostinho Neto”. RevInfCient. 2018[citado 20/02/2019];97(2).Disponible en: http://revinfcientifica.sld.cu/index.php/ric/article/view/1840
Puerto Lorenzo JA, Torres Aja L, Cabanes Rojas E. Cáncer de tiroides: Comportamiento en Cienfuegos. Rev Finlay.2018[citado 18/10/2020];8(2).Disponible enhttp://www.revfinlay.sld.cu/index.php/finlay/article/view/444.
Solarana Ortiz JA,Vera López R, Rodríguez Pascual Y,Velázquez Martín JI. Comportamiento de la enfermedad nodular del Tiroides en el Servicio de Cirugía General del Hospital Vladimir IIich Lenin de Holguín. CCM. 2013[citado 25/08/2020];17(3).Disponible en:http://scielo.sld.cu/scielo.php?script=sci_serial&pid=15604381&lng=es&nrm=iso
Mena Cáceres HA, Tomalá Ramos CJ. Determinación de lascomplicaciones más frecuentes en pacientes sometidos a tiroidectomía totalvs tiroidectomía parcialen el hospital Teodoro Maldonado Carbo de Guayaquil en el periodo de Enero del 2016 hasta Diciembre2016.[Tesis].[Guayaquil, Ecuador]:Universidad Católica de Santiago de Guayaquil;2017.70p.Disponible en: http://repositorio.ucsg.edu.ec/bitstream/3317/8018/1/T-UCSG-PRE-MED-539.pdf
Rosato L, Avenia N, BernanteP,De Palma M, Gulino G, Giorgio Nasi P, et al.Complications of Thyroid Surgery: Analysis of a Multicentric Study on 14,934 Patients Operated on in Italy over 5 Years. World J Surg. 2004[citado 05/03/2021];28(3):271-276.Disponible en: https://link.springer.com/article/10.1007/s00268-003-6903-1
Pardal Refoyo JL. Complicaciones de la cirugía tiroidea .Rev Soc Otorrinolaringol Castilla León Cantab La Rioja. 2010[citado 05/02/2021];1(4).Disponible en:https://gredos.usal.es/bitstream/handle/10366/124369/revistaorl04complicacionesct.pdf?sequence=1&isAllowed=y
Hernández Iglesias S, Delgado JC, Fajardo Horta O, Acosta González LR. Cirugía ambulatoria en afecciones nodulares del tiroides. Rev Ciencias Médicas. 2004[citado 05/03/2021];8(2).Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1561-31942004000200002
Jin S, Sugitani I. Narrative review of management of thyroid surgery complications. Gland Surg. 2021[citado 05/03/2021]; 10(3):1135-1146. Disponible en: https://doi.org/10.21037/gs-20-859