Authors : Musa Adewale, Philip A.O. Adeniyi, Lasisi Akeem, Agboola Oladeji and Oyegunle Ayodele
Abstract: Throidectomy is routinely performed under general anaesthesia and patient is often admitted for a few days. This has been found unnecessary because complications following thyriodectomy are very rare. Day case surgery is an ideal way of utilizing heath resources to maximum, cheap and conserves hospital beds. A prospective study performing thyroidectomy under regional anaesthesia as day cases. Department of Surgery, Endocrine Unit, Olabisi Onabanjo University Teaching Hospital, Sagamu, Nigeria. In a 36 month period, April 2007 to March 2010, about 150 patients with simple nodular/multinodualr goiter were strictly selected for the study. Patients selected for the surgery were 135 females and 15 males with age range of 27-55 years and a mean age of 40.5 years±9.3 SD. Three had nodular goiter, seven with isthmus enlargement and 140 had simple multinodular goiter (two as recurrent). Three had lobectomy, seven had isthmusectomy with bilateral partial lobectomies; the remaining had near total thyroidectomy including the patients with recurrent goiter. There were no complications, all were discharged between 6-8 h post operative except one of the patients with recurrent goiter who had two pints of blood and was discharged at 20 h, post surgery. She also had transient hypocalcaemia. Thirty five patients had headache which responded to simple analgesic. About 95% of the patients were satisfied with procedure and would recommend it to others, 3% were satisfied but would not recommend it while 2% were indifferent. Day case thyroidectomy is safe and feasible even in rural and sub-urban centres. The earlier part of this study was partly presented at the 43rd Scientific Conference of the International College of Surgeons Annual Conference, Nigerian section in July, 2008.
Musa Adewale, Philip A.O. Adeniyi, Lasisi Akeem, Agboola Oladeji and Oyegunle Ayodele, 2011. Day Case Thyroidectomy under Local/Regional Block in a Tropical Sub-Urban Teaching Hospital in a Developing Country-Preliminary Report. Surgery Journal, 6: 7-12.