Goiters
account for a very high prevalence disease. In Senegal, surgery is a very
important part of the management. Our aim is to determine indications and results of thyroidectomies at the regional hospital of St. Louis. Patient
and Method: We conducted a descriptive retrospective study over a period of
6 years on 81 records. All patients who underwent thyroidectomy during the
study period were included. Computer
software EPI INFO and Excel were used for collection and processing of data. Results: The average age of our patients was 40 years with a sex ratio at 0.05. The
determination of TSH found 88.9% in euthyroid, 1.2% in hypothyroidism and 9.9% in hyperthyroidism. Thyroid ultrasound was performed in
97.5% of patients. Surgically, gestures performed were divided between the
lobo-isthmectomies (43.1%), subtotal thyroidectomy (9.8%), total thyroidectomy
(46.91%). The postoperative course was uneventful in all patients. The
histology was benign in 88.9% of surgical specimens and found adenocarcinoma in
11.1%. Conclusion: Our study confirms
the predominance of female thyroid pathology. The thyroidectomy which is getting better codified occupies an important place in the management.
It offers the advantage around the problem of therapeutic
non-compliance and also stockouts in our region.
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