Article ; Online: The relationship between thyroidectomy complications and body mass index.
Revista da Associacao Medica Brasileira (1992)
2020 Volume 66, Issue 11, Page(s) 1573–1576
Abstract: Introduction: Obesity is a growing public health problem associated with many comorbid diseases. The aim of this study was to evaluate the relationship between body mass index and complications of thyroidectomy.: Methods: Patients who underwent total ...
Abstract | Introduction: Obesity is a growing public health problem associated with many comorbid diseases. The aim of this study was to evaluate the relationship between body mass index and complications of thyroidectomy. Methods: Patients who underwent total thyroidectomy between January 2015 and December 2018 were enrolled. Patients were divided into two groups, i.e., BMI <25 (group A) and BMI≥ 25 (group B). Demographics, operative time, and complications were retrospectively reviewed. Results: The study included 145 patients (66 in Group A and 79 in Group B). There was no significant difference between the two groups in terms of age (p=0.330) and gender (p=0.055). No surgical site infection and bleeding complications were observed in any patients. The mean operative time was 148.4 minutes (90-235) in Group A and 153.4 minutes (85-285) in Group B (p=0.399). Transient hypocalcemia was observed in 25 (37.9%) patients in group A, and 23 (29.1%) patients in Group B (p = 0.291). Permanent hypocalcemia was not observed in any patient in group A, and in 2 patients in Group B (2.5%) (p = 0.501). Transient recurrent nerve palsy was observed in 1 (1.5%) patient in Group A and in 3 (3.8%) patients in Group B (p=0.626). None of the patients had permanent recurrent nerve palsy. Parathyroid autotransplantation was performed on 1 patient (1.5%) in group A and on 7 (8.9%) patients in Group B (p=0.055). Conclusion: We think there is no relationship between a high BMI and thyroidectomy complications, and surgery can also be performed safely in this patient group. |
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MeSH term(s) | Body Mass Index ; Female ; Humans ; Hypocalcemia/etiology ; Male ; Operative Time ; Postoperative Complications/epidemiology ; Postoperative Complications/etiology ; Retrospective Studies ; Thyroidectomy/adverse effects |
Language | English |
Publishing date | 2020-12-23 |
Publishing country | Brazil |
Document type | Journal Article |
ZDB-ID | 731969-1 |
ISSN | 1806-9282 ; 0104-4230 ; 0004-5241 ; 0102-843X |
ISSN (online) | 1806-9282 |
ISSN | 0104-4230 ; 0004-5241 ; 0102-843X |
DOI | 10.1590/1806-9282.66.11.1573 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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