Abstract

Analysing the complexities and outcomes of thyroidectomies in a rural setting is important for optimizing patient care, addressing potential disparities and also identification of the areas for improvement. Methods: It is a retrospective observational study taken at a rural tertiary care teaching hospital. The data of the patients undergoing thyroidectomy surgery in the institute in last 8 years is analyzed and reported. Results: Total 100 cases were included in the study. Right hemi thyroidectomy was done in 57 cases, Left hemi thyroidectomy was done in 26 cases, total thyroidectomy was done in 5 cases, total thyroidectomy with neck dissection was done in 9 cases and isthmectomy was done in 3 cases. The diagnostic profile showed total 38 cases of colloid goitre, 35 cases of nodular goitre, 4 cases of multi nodular goitre, 9 cases of follicular neoplasm, 9 cases of papillary thyroid carcinoma, 3 cases of isthmus solitary nodule, 1 case of lymphocytic thyroiditis and 1 case of Hurthle cell tumour. Total 6 patients had transient recurrent nerve palsy and 2 patients had transient hypocalcaemia. Conclusion: The findings of this study tell us about the need for resource allocation, healthcare planning and quality improvement initiatives required in this area. Further research with larger sample size is required to improve the limitations of the study and to expand our understanding of thyroid surgical practices in rural areas.

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