What is subtotal thyroidectomy?

summary

Subtotal thyroidectomy is an operation for hyperthyroidism, simple goiter, multiple thyroid adenoma, giant thyroid adenoma or giant cyst. It is an effective method to treat simple goiter, hyperthyroidism and thyroid cyst. Those who meet the indications should be operated as soon as possible. But there are also postoperative recurrence, the recurrence rate is 4-6%, mostly in patients under 40 years old. Let's share my experience with you.

What is subtotal thyroidectomy?

Patients with hyperthyroidism must be treated with antithyroid drugs in the internal medicine department. After the basic metabolic rate falls to normal or close to normal (+ 15%), and the pulse rate is below 90 beats / min, they should stop taking antithyroid drugs and take compound iodine for about two weeks, so that the thyroid gland can be significantly reduced and hardened, which is convenient for operation and reduces intraoperative bleeding.

The specific method is oral compound iodine liquid (Lugol liquid), 3 times a day, 5 drops each time on the first day, 6 drops each time on the next day, and then increase 1 drop every day until 15 drops each time, maintain 3-5 days after operation. In recent years, it is advocated to use propranolol and compound iodine solution for preoperative preparation. The dosage of propranolol varies according to the severity of the disease, once every 6 hours, 10 ~ 40 mg each time. In this way, preoperative medication can shorten the preparation time.

If you have insomnia or restless sleep, you can take lumina 0.1g or diazepam 5mg orally once a night. Necessary preoperative examination: such as cardiovascular function and liver and kidney function examination, basic metabolism determination, laryngoscope examination of vocal cord function, X-ray examination of tracheal position and blood calcium, phosphorus determination, etc.

matters needing attention

In the diet must also control the salt intake, do not eat spicy food such as coffee, strong tea, you can eat more cereals such as cereals, oats or soybeans, you can drink more water or milk, but do not drink carbonated drinks.