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Abstract

Multinodular Goiter is one of the most common endocrine diseases worldwide.[1,22] Multinodular goiter is more prevalent in areas where iodine is deficient in the diet.[1] Subtotal thyroidectomy has been widely used up till now but recurrence is associated with it. Total thyroidectomy is another surgical option with low recurrence. [21, 3]
Objectives:  To compare the safety of total thyroidectomy with subtotal thyroidectomy in Multinodular goiter with regard to recurrent laryngeal nerve injury and hyperparathyroidism.
Study Design: Prospective study.
Setting: Department of Surgical unit I, Jinnah Hospital, Lahore.
Duration with dates: 1 year from (January 2009 to December 2009)
Sample Size: Sixty (60) patients. 30 in group A for total thyroidectomy and also 30 in group B for subtotal thyroidectomy.
Results: The mean age of patients in group A was 30.47+9.03 years and in group B the mean age was 31.70+11.49. Twenty nine patients (97%) were female and 1 male patient (3%) in group A and in group B 29 patients (97%) were female and 1 patient (3%) was male. The mean hospital stay was 5.57+2.15 in group A and in group B was 5.90+1.72. There was no comparative difference of complications in the both groups.
Conclusions: We concluded that subtotal thyroidectomy because the residual thyroid tissue may cause future recurrence with is difficult to treat. We prefer thoroughly excision to limit the possibility of future recurrence and re-operative surgery by performing total thyroidectomy.