Surgical treatment of patients, suffering goiter with compressive syndrome

Abstract

Objective. To analyze the operative interventions character, performed in patients, suffering goiter of large size and cervico-retrosternal localization of thyroid gland with signs of compressive syndrome, and to determine preventive measures for prophylaxis of suboperative complications. Materials and methods. The data were obtained, concerning operative treatment of 331 patients, suffering various forms of large size goiter, coincided with compressive syndrome and changes in anatomic-topographic interrelationship of the thyroid gland and adjacent organs and structures with their activity disorders, in Department of Surgery of the Second Clinical Hospital of Poltava (clinical base Department of Surgery No 1 of Ukrainian Medical Stomatological Academy) in 2004 - 2018 yrs period. Results. There were depicted the operative interventions character, peculiarities of operative technique for patients, suffering large size goiter, as well as the ways for optimal prevention of injury of laryngeal nerves, parathyroid glands and other adjacent organs and structures. Original procedure of suboperative determination of the tracheomalacia presence and creation of external tracheal carcass was depicted. Conclusion. The measures and procedures in operations, performed for goiter of large size proposed, have permitted to reduce the operative morbidity risks.

Keywords

• thyroid gland; nodal goiter; goiter of large size; compressive syndrome; surgical treatment.