Complicaciones Post Tiroidectomía: Lesión del Nervio Laríngeo Recurrente e Hipoparatiroidismo
Barrantes Miranda, Gabriela
MetadataShow full item record
Total thyroidectomy is the most widely used treatment for the management of malignant pathologies of the thyroid gland, however it is increasingly used for the management of benign pathologies (such as Hashimoto's thyroiditis, Graves' disease, toxic multinodular goiter, among others), in cases where the thyroid gland cannot be partially preserved. This surgery can be associated with some surgical complications of variable severity, among the main complications we can mention hemorrhage, post-surgical hypoparathyroidism and recurrent laryngeal nerve lesion. Which are avoidable in most cases, but not all. Among these previously mentioned, hypocalcemia is the most common but critical complication and requires urgent treatment due to the risks of tetany, bronchospasm, and cardiac arrhythmias. Patients with permanent hypocalcemia can be labile and difficult to manage. They may also experience significant morbidity; however, some intraoperative measures can be implemented to reduce the risk of postoperative hypoparathyroidism, with good results. However, at present, there is no effective method to treat postoperative hypocalcemia, with the exception of calcium supplements and vitamina D. Another of the most frequent complications of a total thyroidectomy total is the recurrent laryngeal nerve injury, which can also cause high morbidity and mortality. From a temporary injury with mild symptoms to a permanent or bilateral injury that threatens the patient's life. Part of the focus of this thesis is to raise awareness of the options and tools available in order to maximize the intraoperative effort to reduce the risk of nerve injury.