Total Thyroidectomy In The Management Of Graves' Disease

Authors

Mahamoud Mohamed Abo El yazed, Department of General Surgery, Faculty of Medicine For Boys, Al-Azhar University, Cairo, Egypt.
Adel Mohammad Abdul-Haleim Lasheen, Department of General Surgery, Faculty of Medicine For Boys, Al-Azhar University, Cairo, Egypt
Abdella Nazeer Yasieno, Diagnostic Radiology department, Faculty of Medicine, Al-Azhar University, Egypt
Abd Elnaby Saeid Ismaiel, General Pathology department, Faculty of Medicine, Al-Azhar University, Egypt
Mohammed Ibrahim Hassan Rashed, Department of General Surgery, Faculty of Medicine For Boys, Al-Azhar University, Cairo, Egypt.Follow

Corresponding Author

Mohammed Ibrahim Hassan Rashed

Document Type

Original Article

Abstract

Background; Graves’ disease (GD) is an autoimmune disorder of the thyroid gland in which thyrotropin receptor antibodies (TRAb) stimulate thyroid stimulating hormone receptors (TSH-R), thereby increasing thyroid hormone production and release , Aim and objectives: The aim of this work was to evaluate the outcome of total thyroidectomy in the treatment of Graves' disease. Patient and methods; Fifty patients have goitre was prospectively studied. All patients were undergoing capsular dissection total thyroidectomy after preoperative preparation at Al-Hussein University Hospital. Result; As regard Postoperative parameters distribution between the two studied groups, we found that there is a significant difference between the two studied groups regarding TSH, free T4, and free T3, Conclusion; Total thyroidectomy (TT) for Graves’ disease is a challenging procedure with a high rate of major complications. To reduce the major complications rate, inexperienced thyroid surgeons should remain vigilant when performing total thyroidectomy for Graves’ disease. It is also suggested that inexperienced surgeons should improve the technique to safely preserve the function of RLN and PGs in regular thyroid surgeries before performing operations on Graves’ disease patients. Updates on surgical concepts and the effective use of operative adjuncts (i.e., EBD) are necessary to improve patient safety and functional outcomes.

Keywords

Total Thyroidectomy; Graves ‘disease; Antithyroid Medication; Hyperthyroidism

Subject Area

General Surgery, General Medicine

How to Cite This Article

yazed, Mahamoud Mohamed Abo El; Lasheen, Adel Mohammad Abdul-Haleim; Yasieno, Abdella Nazeer; Ismaiel, Abd Elnaby Saeid; and Rashed, Mohammed Ibrahim Hassan (2023) "Total Thyroidectomy In The Management Of Graves' Disease," Al-Azhar International Medical Journal: Vol. 4: Iss. 5, Article 11.
DOI: https://doi.org/10.58675/2682-339X.1832