Surgical hyperthyroidism: Epidemiological aspect and management difficulties in the visceral surgery department of the Donka National Hospital

Hamidou  Sylla; Soriba Naby  Camara; Mamadou Sakoba  Barry; Habiboulaye  Balde; Biro  Diallo

doi:10.30574/gscarr.2021.9.2.0254

Authors

Hamidou Sylla Department of Visceral Surgery, Donka National Hospital, Faculty of Health Sciences and Technology, Gamal Abdel Nasser University of Conakry, Conakry, Guinea.
Soriba Naby Camara Department of Visceral Surgery Sino Guinean Friendship Hospital Faculty of Health Sciences and Technology, Gamal Abdel Nasser University of Conakry, Conakry, Guinea.
Mamadou Sakoba Barry Department of General Surgery, Ignace Deen National Hospital Faculty of Health Sciences and Techniques, Gamal Abdel Nasser University of Conakry, Conakry, Guinea.
Habiboulaye Balde Department of Visceral Surgery, Donka National Hospital, Faculty of Health Sciences and Technology, Gamal Abdel Nasser University of Conakry, Conakry, Guinea
Biro Diallo Department of Visceral Surgery, Donka National Hospital, Faculty of Health Sciences and Technology, Gamal Abdel Nasser University of Conakry, Conakry, Guinea

DOI:

https://doi.org/10.30574/gscarr.2021.9.2.0254

Keywords:

Hyperthyroidism, Epidemiology, Management, Donka National Hospital

Abstract

Introduction: The aim of this study was to assess the epidemiological aspect and the difficulties associated with the surgical management of hyperthyroidism in our context. Hyperthyroidism is an over function of the thyroid gland resulting in thyrotoxicosis. Thyroidectomy is one of the Main treatments. It also uses synthetic antithyroid drugs, radioactive iodine.

Methodology: We carried out a descriptive 6-year retrospective from January 1, 2011 to December 31, 2017 inclusively. Our study variables were qualitative and quantitative,

Results: During our study, 26 cases were collected between January 2011 and August 2017 with a predominance of 73% female and an average age of 52, 78 years. The clinic was dominated by the signs of thyrotoxicosis which were found in all patients. The exploration identified 14 cases of toxic multi-hetero nodular goiter, ie 53.84%; 9 cases of basal disease 34, 66% and 3 cases of toxic adenoma 11, 54%. Medical preparation was required in all our patients

Total thyroidectomy was performed in one patient, i.e. 4%, and Lobo isthmectomy in 24 patients, ie 96%. Postoperatively, complications were collected: 1 case of intraoperative hemorrhage 20%; 1 case of postoperative hematoma 20%; 1 case of dysphonia 20%.

Conclusion: Surgery for toxic goiter known to be hemorrhagic and adherent should be performed after obtaining euthyroidism and double vigilance to minimize the morbidity represented mainly by laryngeal paralysis and hyperparathyroidism

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