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2024-03-29T11:23:47+01:00webmedcentral logo
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http://www.webmedcentral.com/images/Header_Logo.giftext/html2013-01-04T12:42:11+01:00http://www.webmedcentral.com/Dr. Karthikeyan SelvarajuOutcome of Surgery for Thyroid Diseases
http://www.webmedcentral.com/article_view/3932
Background: The aim of this study is to assess the outcome of patients who have been treated surgically for thyroid disorders with the objective to compare the outcomes of total thyroidectomy to subtotal and other thyroidectomy procedures. Methods: This is a retrospective study of all patients who have undergone any surgical procedure on the thyroid gland from 1st January 2007 to 31st December 2007. Results: Of the 117 patients, L-thyroxine supplementation was required in 55.5% patients following near total thyroidectomy and 38.5% patients following sub total thyroidectomy and 4.9% patients following hemi thyroidectomy. Permanent hypothyroidism is seen in 1.7% patients following total thyroidectomy group and 0.9% patients following completion thyroidectomy group. Unilateral recurrent laryngeal nerve paralysis was seen in 1.9% patients following total thyroidectomy. Conclusion: The intra operative parameters and post operative parameters including the associated complications are not significantly different in total thyroidectomy in comparison to other lesser thyroidectomy procedures.text/html2013-03-11T13:10:10+01:00http://www.webmedcentral.com/Dr. Karthikeyan SelvarajuClinicopathological Analysis of Pheochromocytoma: A Retrospective Study
http://www.webmedcentral.com/article_view/4128
Pheochromocytoma is a rare tumor of chromaffin tissues most commonly arising from the adrenal medulla. We retrospectively reviewed the records of 34 patients with pheochromocytoma who underwent surgical treatment between 1971 and 2006. Fourteen patients (41.2%) were females and twenty (58.8%) were males. The most frequent symptoms were Hypertension (97%) and palpitation (38.2%). Seven patients had an extra-adrenal tumor and in one patients the tumor occurred in the urinary bladder. Nine patients (26.5%) had persistent hypertension, 11 patients (32.4%) had paroxysmal hypertension and 13 patients (38.2%) had persistent with paroxysms. The 24-h urinary total metanephrines and vanillylmandelic acid (VMA) were the most sensitive biochemical tests for the diagnosis of pheochromocytoma. One of our patients was found to be associated with hereditary pheochromocytoma syndrome. All hypertensive patients were preoperatively treated with phenoxybenzamine and propranolol. All underwent explorative laparotomy and adrenelectomy. All patients were followed up with 24-h urinary VMA levels and CT scan of abdomen regularly.