Journal of Thyroid Disorders & Therapy
Open Access
ISSN: 2167-7948
+44 1300 500008
ISSN: 2167-7948
+44 1300 500008
Roberto Santoro
First Unit of Otorhinolaryngology-Head and Neck Surgery,
Via Largo Brambilla 3, 50134 Florence
Italy
Research Article
Total Thyroidectomy in North Uganda: A Cultural and Socio-economic Challenge for an African Country
Author(s): Giulia Burali, Ogwang David Martin, Francesca Romana Fiorini, Giuditta Mannelli, Rita Giachetti, Oreste Gallo and Roberto SantoroGiulia Burali, Ogwang David Martin, Francesca Romana Fiorini, Giuditta Mannelli, Rita Giachetti, Oreste Gallo and Roberto Santoro
Background: Disease of the thyroid in Sub-Saharan Africa mainly present as multinodular goiter (MNG). Our aim was to standardize indications for total thyroidectomy (TT) after our experience in the major non-governmental hospital of North Uganda. Methods: We included patients submitted to thyroid surgery during 5 camps held by a team of Italian ENT surgeons from April 2012 to December 2015 at Saint Mary’s hospital Lacor, Uganda, for single lobe macronodules or MNGs. From an initial pool of 218, we selected 142 (65.14%) patients: 137 (96.48%) were submitted to thyroidectomy. Results: We performed 84 lobectomies (61.3%), 13 loboisthmusectomies (9.49%), 25 sub-total thyroidectomies (18.25%), and 15 TTs (10.95%). We observed 5 postoperative complications and 1 intraoperative death. TTs increased in number compared with partial thyroidectomies (p=0.02) and STTs (p<0.0001). Conclus.. View More»
DOI:
10.4172/2167-7948.1000206