Factor Analysis of Relapse of Nodular Goiter

Material and research methods. The study is based on the results of treatment of 368 patients with thyroid nodular lesions, admitted to the surgical department of the 1st clinic of the Samarkand State Medical Institute from 2005 to 2018. Patients are conditionally divided into two groups. In 2005-2013 operated on 230 patients who made up the comparison group. From 2014 to 2018 under our supervision were 138 patients who entered the main group. The results of the study. Surgical tactics and techniques for performing the main stages of a stumectomy did not differ from the generally recognized. In order to properly carry out the surgical intervention during thyroid nodular lesions and to avoid complications and relapses after the operation, the basic principles of strumectomy were observed. In the main group, the choice of treatment was more differentiated. Factors affecting the choice of treatment were taken into account. As indicated in chapter III in the late postoperative period, the unsatisfactory results in the comparison group were due to the neglect of the cytological conclusion and the choice of surgical tactics. Conclusions. The developed program for the scoring of factors affecting the choice of surgery in patients with thyroid nodular lesions allowed to choose the optimal method of surgery, taking into account the individual characteristics of the body and improved treatment outcomes. To prevent intraoperative complications, one of the innovative solutions in patients in the main group was the use of a modified retractor tool