Abstract

Background & Methods: The aim of the study is to study about identifying predictors of difficult thyroid surgery. Clinical findings such as size of the gland, consistency of the gland and position of trachea were recorded. Ultrasound features such as size of the nodules, vascularity, density, microcalcification and x ray features such as tracheal deviation were taken into account in the study. Thyroid profile test and thyroid peroxidse estimation tests was done for the patients. Results: Clinical outcomes distribution were Retrosternal Extension, Vocal Cord Mobility has highest percentage (100.0%), Mobility Restricted movement with deglutition has lowest percentage (1.4%). Hospital Stay distribution were < 5 Days is 58.5%, > 5 Days is 41.5%. Conclusion: The preoperative thyroid difficulty score was found to be not correlating with the post-operative complications but were found to correlative with other postoperative factors such as duration of surgery and post –operative duration of stay of hospital as higher scores were associated with longer duration of surgery as well hospitalisation of the patient. The difficulty score which was calculated in this study won’t affect the mortality or morbidity rates associated with this surgery but one has to keeping mind that the advancement in the field of thyroid surgery especially the recent advancement in microsurgical techniques and experience of surgeon play an important role in making sure the incidence of complications acquired during surgery be insignificant. Keywords: predictors, thyroid & surgery.

Description