Surgical treatment of thyrotoxicosis: results of 272 operations with special reference to preoperative treatment with anti-thyroid drugs and L-thyroxine.
From 1959 to 1970, 272 operations for thyrotoxicosis were performed. Most of the patients received anti-thyroid drugs and thyroid hormones preoperatively. The patients were continuously followed up. The primary results with low morbidity and no mortality as well as the long term results with a low rate of recurrence and a relatively high incidence of thyroid substitution are discussed. A safe and effective programme for surgical treatment of thyrotoxicosis is described. Anti-thyroid drugs and thyroid hormones should be administered as the method of choice in preparing these patients for surgery.
D000293:Adolescent; D000328:Adult; D000368:Aged; D013956:Antithyroid Agents / Q000627:therapeutic use*; D002231:Carbimazole / Q000627:therapeutic use; D002648:Child; D005260:Female; D006042:Goiter / Q000601:surgery; D006801:Humans; D006980:Hyperthyroidism / Q000188:drug therapy / Q000601:surgery*; D006996:Hypocalcemia / Q000209:etiology; D007037:Hypothyroidism / Q000150:complications / Q000188:drug therapy; D007828:Laryngoscopy; D007902:Length of Stay; D008297:Male; D008713:Methimazole / Q000627:therapeutic use; D008875:Middle Aged; D010243:Paralysis / Q000209:etiology; D011183:Postoperative Complications; D011300:Preoperative Care; D011441:Propylthiouracil / Q000627:therapeutic use; D012009:Recurrent Laryngeal Nerve; D013974:Thyroxine / Q000627:therapeutic use*; D014284:Triiodothyronine / Q000627:therapeutic use
D013956:Antithyroid Agents; D014284:Triiodothyronine; D008713:Methimazole; D011441:Propylthiouracil; D002231:Carbimazole; D013974:Thyroxine