Table of Contents

2014 Month : September Volume : 3 Issue : 46 Page : 11166-11169

THYROID SURGERY IN GERIATRIC PATIENT: EXPERIENCE IN A TERTIARY CARE CENTRE IN RURAL KERALA

Jomine Jose1, Vergis Paul2, Najeeb Mohammad3, Neeraja Raj4

CORRESPONDING AUTHOR:
Dr. Jomine Jose,
Assistant Professor,
Department of General Surgery,
MOSC Medical College,
Kolenchery, Ernakulam-682311.
Email: jomine9@gmail.com

ABSTRACT: OBJECTIVE: To study about additional risks associated with thyroid surgery in the elderly population. DESIGN: Retrospective analysis of a prospective documented data in consecutive patients undergoing thyroid surgery from January 2012 to June 2014 in a tertiary care health center. PATIENTS: The study included patients aged 30 to 40 years as control group and patients of 60 years and above who underwent thyroidectomy. MAIN OUTCOME MEASURES: Pathology reports, complications (including rates of temporary and permanent hypocalcemia and stridor, seroma/hematoma, and duration of hospital stay. RESULTS: There were 68 patients of 30-40 age group who under-went thyroidectomy between January 2012 and June of 2014; 46 elderly patients underwent surgery during that same time frame. There were no deaths in both cohort, and no cases of permanent TVF paralysis. The elderly patients had a similar rate of complications when compared with the younger patients, (60% vs 70%) but a higher duration of hospital stay (6.9 vs 5.4). CONCLUSIONS: Thyroid surgeons will be faced more often with the prospect of elective thyroid surgery in patients of advanced age, as an increasingly aged population emerges and the prevalence of thyroid nodules and thyroid cancer increases. Thyroid surgery in optimized elderly patients is safe and no more dangerous, than surgery in younger patients though the duration of hospital stay is more.

KEYWORDS: Thyroid surgery, geriatrics.

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