TITLE:
Benin Goitre in the General Surgery Department at Teaching Hospital Gabriel Touré
AUTHORS:
Madiassa Konate, Amadou Traore, Moussa Samake, Abdoulaye Diarra, Boubacar Karembé, Amadou Bah, Boubacar Yoro Sidibé, Kadiatou Doumbia, Tany Koné, Amadou Maiga, Zakari Saye, Arouna Doumbia, Ibrahim Diakite, Bakary T. Dembelé, Alhassane Traore, Lassana Kante, Adegné Togo
KEYWORDS:
Benign Goitre, Epidemiological, Clinical and Therapeutic Aspects
JOURNAL NAME:
Surgical Science,
Vol.13 No.1,
January
10,
2022
ABSTRACT: Introduction: Goitre is an increase in the volume of the thyroid gland. Goiters may be
congenital or acquired, diffuse or nodular, functional or non-functional,
benign or malignant. Purpose: The objectives of this
work were to study and determine the frequency of benign goitre in the general
surgery department of CHU Gabriel Touré, and to study epidemiological,
clinical and therapeutic aspects. Patients and Method: This was a retrospective and prospective study conducted in the general surgery
department of CHU Gabriel Touré, from January 1999 to December 2019. Included
in the study were all patients with benign goiter confirmed in histology,
hospitalized and treated in the service. Patients with thyroid malignant
tumours, strumite, thyroid tract cyst, cervical abscess and neck trauma were
not retained. Socio-demographic, clinical, para-clinical, therapeutic and
post-operative aspects were the study parameters. Word processing and tables
were done with Microsoft Word and Excel 2016 software. Data analysis was
performed with Epi info7 software, the statistical test used was the Khi2 test
and a value of P 0.05 was considered
statistically significant. Results: A total of 253
patient files were collected. Thyroidectomy represented 5.02% (253/5036) of
surgical procedures. The average age was 42.5 years with a standard deviation
of 15.6 and extremes of 13.9 and 76 years. The sex ratio was 8.7 in favour of
the female sex. Anterior cervical swelling was the most common reason for
consultation with 90.0% (230/253). There were 118/253 cases of euthyroid goiter
(46.6%), 132/253 cases of hyperthyroid goiter (52.2%) and 3/253 cases of
Basedow’s disease (1.2%). Histology revealed (178/253) cases of micro and macro
follicular colloid adenoma (70.3%), (27/253) cases of micro and macro
follicular vesicular adenoma (10.7%) and (48/253) cases of micro and macro
vesicular hyperplasia. The most performed surgical techniques were subtotal
thyroidectomy with a rate of 138/253 (54.5%) isthmo-lobectomy with a rate of
102/253 (40.3%), lobectomy with a rate of 11/253 (4.3%) and isthmectomy 1/253
(0.4%). One-month follow-up was marked by 4 cases of surgical site infection
(1.6%), 2 cases of transient hypocalcemia (0.8%). One-year follow-up was simple
in 98.4% of cases, we noted 4 cases of keloid. The average length of
hospitalization was 3.31 ± 0.1 days. Conclusion: Goiter surgery is relatively common in
the general surgery department of CHU Gabriel Touré. Good preparation
and better post-operative monitoring could help minimize post-operative
complications.