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 Tuesday January 06, 2009       10:24 pm
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Subtotal and near total versus total thyroidectomy for the management of multinodular goiter

Abstract
Background  The purpose of the present work was to compare rates of postsurgical complications following thyroidectomy for multinodular
goiter through a retrospective multicenter cohort study.

Methods  All cases of thyroidectomy (total—TT; near total—NT; and bilateral subtotal—ST) performed in two hospitals from 1990 to 2005
were studied to determine the incidence of complications after each procedure. Follow-up checked injury of laryngeal nerves,
hypoparathyroidism, hypothyroidism, pathology recurrence, and appearance of neoplasm.

Evidence for the role of perioperative pth measurement after total thyroidectomy as a predictor of hypocalcemia

Abstract
Background  Total thyroidectomy is now accepted worldwide as the standard surgical procedure for the management of benign bilateral nodular
thyroid disease. Hypocalcemia is the most common complication of that procedure and a variety of strategies for diagnosing
and managing post-thyroidectomy hypocalcemia have been advocated. Increasingly, the use of intact parathyroid hormone (PTH)
has been utilized to try to predict those patients at risk of developing post-thyroidectomy hypocalcemia.

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