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|Title: ||Thyroidectomy Under Local Anaesthesia: How Safe?|
|Authors: ||Misauno, M.A.|
|Issue Date: ||Mar-2008|
|Publisher: ||Nigerian Journal of Clinical Practice|
|Series/Report no.: ||Vol. 11;No.1; Pp 37-40|
|Abstract: ||Background: In order to compliment the inadequate health facilities in the rural areas in Nigeria,non governmental organizations provide adhoc outreach health camps that offer treatment in various medical specialties including surgery.
Setting: Rural outreach health camps.
Objective: To evaluate the safety of thyroidectomy under local anaesthetia at tural outreach setting with inadequate facilities for general anaesthesia.
Patients and Methods: This was a prospective descriptive study of 33 consecutive cases of thyroidectomy performed using field block with 1% lignocaine and adrenaline 1:200,000 dilution during two free medical outreaches that held at Jos,Nigeria in March and October 2005 respectively,lasting two weeks each.
Results; A total of 33 primary thyroid operations were performed consisting of 30 subtotal thyroidectomies (91%),2 lobectomies (6%) and one thyroidectomy (3%), The patients were aged between 23 and 62 years with a mean age of 45.8 years. There were 3 males and 30 females with a male: female ratio of 1:10. There was no mortality but morbidity was 2/33 (6%) Two complications were recorded in 2 patients and were superficial surgical site infection (3%) and reactionary haemorrhage (3%).
Conclusion: We conclude that thyroidectomy under local anaesthesia is a safe procedure in experienced hands at rural settings with inadequate facilities for general anaesthesia.|
|Appears in Collections:||Surgery|
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