Department of Endocrine and Breast Surgery, SGPG Institute of Medical Sciences, India
*Corresponding author: Mayilvaganan Sabaretnam, Department of Endocrine and Breast Surgery, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India
Submission: October 30, 2017; Published: October 26, 2018;
ISSN: 2637-8019Volume2 Issue4
Thyroidectomy nowadays is a safe procedure with most centers advocating same day discharge. However even in best centers mortality is still an enigma especially in patients undergoing surgery for Locally advanced thyroid cancer . “Mortality after thyroid surgery, insignificant or still an issue?” . This article addressed the issue of occurrence and types of complications in this era of technocrat surgeons, those who are equipped with various surgical gadgets in their armamentarium, with the effort to reduce both the morbidity and mortality of surgical procedures. History of thyroid surgery has made us remember about contributions of various surgeons and importance of their keen observations, analysis and inferences that has changed the profile of thyroid surgery from one of high mortality to safe day care surgery [3,4].
The mortality declined drastically due to availability of specialized surgical care , improved precise knowledge about thyroid and parathyroid anatomy and delicate well described surgical techniques supplemented by vessel sealing devices. The incidence of mortality among patients with tracheal invasion and significance of extent of tracheal invasion in causing morbidity and mortality including difficult airway management even for experienced anaesthelogist and also the probable need to do pre-operative tracheostomy even in this era. The experience of the operating surgeon and his team and also the anesthetist in handling airway issues and hemorrhage from a vascular goiter can be a challenging task and the best policy for a knife happy thyroid surgeon is to choose and plan well, so that procedure goes well, and the patient finally gets well..
© 2018 Mayilvaganan Sabaretnam. This is an open access article distributed under the terms of the Creative Commons Attribution License , which permits unrestricted use, distribution, and build upon your work non-commercially.