Preoperative Preparation of Hyperthyroidism for Thyroidectomy - Role of Supersaturated Iodine and Lithium Carbonate

Overview

Journal Indian J Endocrinol Metab

Specialty Endocrinology

Date 2018 Aug 10

PMID 30090733

Citations 4

Authors

Gopalakrishnan C Nair

Misha J C Babu

Riju Menon

Pradeep Jacob

Affiliations

Soon will be listed here.

Abstract

Introduction: Thyroidectomy is effective and safe procedure for permanent cure of hyperthyroidism (HT). Iodine preparations are widely used before operation to prevent excess blood loss. Ideal regimen for refractory HT is debated. This retrospective case-control study is designed to study the efficacy of various regimens of preoperative preparations.

Materials And Methods: Case records, anesthesia charts, and follow-up details of hyperthyroid patients undergoing thyroidectomy were reviewed and compared with an age- and sex-matched euthyroid patients operated during the same period. Iodine preparations were not used for preoperative preparation. Study group was subdivided based on preoperative regimens of anti-thyroid medications.

Results: Of the 168 patients in the study group, procedure time, duration of hospital stay, and overall complication rate were high compared to euthyroid group. Operative blood loss was not high in the study group. There was no difference in rate of complications in the subgroups of the study cohort.

Conclusion: Iodine preparations are not mandatory in preoperative preparation of HT. Lithium carbonate is effective in preoperative preparation of refractory HT. Rate of postthyroidectomy complications is not different in patients receiving thionamides alone or in combination with β-blocker.

Citing Articles

Preoperative Preparation in Hyperthyroidism and Surgery in the Hyperthyroid State.

Uludag M, Cetinoglu I, Unlu M, Caliskan O, Aygun N Sisli Etfal Hastan Tıp Bul. 2024; 58(3):263-275.

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Use of Adjunctive Therapy to Achieve Preoperative Euthyroidism in Graves' Disease: A Case Report.

Abdulghani Alghanim N, Alkahtani S, Assari F, Alnosaier S, Bader R, Elmahi I Am J Case Rep. 2020; 21:e923342.

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First tracheal ring fracture in a complex thyroid surgery.

Husain R, Alnasser A, Al Duhileb M, Madkhali T Int J Surg Case Rep. 2020; 66:309-312.

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Outcomes After Urgent Thyroidectomy Following Rapid Control of Thyrotoxicosis in Graves' Disease are Similar to Those After Elective Surgery in Well-Controlled Disease.

Ali A, Debono M, Balasubramanian S World J Surg. 2019; 43(12):3051-3058.

PMID: 31407090 DOI: 10.1007/s00268-019-05125-5.

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