Endocrine Abstracts

Objective: To find out the safety and fusibility of Thyroid surgery in a selected group of patients under local anesthesia. The aim of the study was to share our experience in case of home and total thyroidectomy in ENT foundation hospital and different clinics of Dhaka, Bangladesh.

Case Study: Materials and Methods: All the patient was admitted to the hospital with clinically significant goiter selected for surgical treatment (2%) xylocaine with adrenaline was used for infiltration anesthesia. Before the operation, the patient had received 1 mg per kg body weight intravenous pethidine slowly Diazepam 1 mg iv. In case of need in a selected group of patients iv ketorolac is sometimes needed.

Result: Haeme thyroidectomy performs there is no remarkable complication (Intra and post-operative) Except 3 cases (three patients postoperative scar two case Reactionary Hemorrhage mean duration of procedure is about 90 minutes The follow-up medical stay was three days. All the patients were in good general condition on the day of discharge from the hospital.

Conclusion: Surgery for thyroid swelling in a selected group of patients may be an alternative where General Anesthesia is not available and in patients contraindicated for medical reasons.