Article Type

Original Study


Objectives The aim of the study was to evaluate the role of total thyroidectomy in benign thyroid diseases such as simple multinodular goiter, secondary toxic goiter, diffuse toxic goiter relapsing after full medical treatment, and selected cases of thyroiditis (Hashimoto«SQ»s thyroiditis). Background The extent of thyroidectomy in benign thyroid enlargement remains a matter of debate and shows a large spectrum of management strategies. Patients and methods We conducted a prospective observational study by collecting data from 40 patients in Menoufia university hospital between April 2010 and October 2011. All patient groups were subjected to investigations such as complete blood count, T3, T4, TSH, and calcium level. Results Of the 40 patients operated upon by total thyroidectomy in our study, eight patients (20%) suffered from complications: six patients (15%) suffered from transient hypoparathyroidism, one patient (2.5%) suffered from unilateral partial recurrent laryngeal nerve injury, and one patient (2.5%) suffered from difficult intubation. Conclusion The study showed that total thyroidectomy is recommended as a routine procedure of choice in benign thyroid diseases because it avoids leaving residual unhealthy thyroid tissue liable for recurrence with or without superimposed malignancy.