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  • Title: [Complications in bland struma surgery. A retrospective study based on 2,035 personal cases].
    Author: Vara-Thorbeck R, Tovar JL, Rosell J, Guerero JA, Ruiz M, Salvi M, Morales OI, Vara-Thorbeck C.
    Journal: Zentralbl Chir; 1989; 114(9):571-6. PubMed ID: 2741581.
    Abstract:
    In the present retrospective study we examine the complications arising from simple goiter operations based on the analysis of 2,035 cases. The mortality rate is extremely low (0.3%). The most typical intraoperative complications - such as unilateral vocal cord paralysis (1.6%) and permanent parathyroprival hypocalcemia (0.4%) were observed to occur much more frequently in cases of subtotal thyroidectomy than in those of partial resection. - As a result of the introduction of synthetic reabsorbent sewing materials, healing problems have been drastically reduced (0.4%). Hypothyreosis and goiter recurrence can be avoided in cases of subtotal thyroidectomy by life-long and individually adjusted administration of thyroid hormones (rate of incidence in our study 3.1%). - In our view a subtotal thyroidectomy is indicate in cases where malignity is suspected (one or more cold nodules).
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