Endocrine Abstracts

Objective: To find out the safety and feasibility 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 heme and total thyroidectomy in ENT foundation hospital and different clinics of Dhaka, Bangladesh.

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, all patients received 1 mg per kg body weight intravenous pethidine slowly, Diazepam 5 mg iv. In some cases. Intravenous ketorolac was injected sometimes to augment pain relive.

Results: In hemi thyroidectomy cases, no remarkable intra & post-operative complication could be seen. IN 3 cases we encountered, postoperative scar( one patient) & in two patients suffered from reactionary Hemorrhage. Mean duration of procedure is about 90 minutes. Hospital stay was three days. 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.