[Total thyroidectomy treatment of bening multinodular goiter].

INTRODUCTION

The treatment of benign multinodular goiter (BMNB) is a matter of ongoing debate in recent decades despite evidence that total thyroidectomy (TT) is associated with a significant reduction in disease recurrence and minimal morbidity in trained hands.

OBJECTIVE

Determine BMNB recurrence after 10 years in 100 patients treated with TT and evaluate the technique-related complications.

DESIGN

Prospective non randomized.

MATERIAL AND

METHODS

From March 1999 to March 2001, one hundred patients, 95 female, with an average age of 42.4 years (range 23-67) underwent TT for having a BMNB, which was confirmed by cervical ultrasound, which also served as a guide to perform fine-needle aspiration (FNA). In all cases, laryngoscopy was performed before and after post-surgical bitstream.

RESULTS

Mean operative time was 49 minutes (range 35-58). Recurrencial recorded paralysis (1%) and five hypoparathyroidism (5%), both transient and no definitive case. All patients were discharged within 24 hours of surgery. We did not record any recurrence BMNB a follow-up period of more than 10 years.

CONCLUSION

The TT is the treatment choice of BMNB, being an effective, safe, with low rates of complications and to avoid or significantly reduce the recurrence of this disease.