[Iterative surgery for goiter].
OBJECTIVE
Identify and resolve problems related to iterative surgery for goiter.


METHODS
Fifty-nine patients who underwent surgery for recurrent benign goiter between 1990 and 1999 were included in the study.


RESULTS
Forty-two patients had lobectomy and isthmusectomy (71.2 and 17 patients had subtotal thyroidectomy (28.8%). The delay from initial surgery to recurrence was less than 5 years for 44% of the patients and was more than 10 years for 17.8%. There was no post-operative mortality and no recurrent laryngeal nerve injury. Early post-operative hypocalcemia occurred in 2 patients (3.3%).


CONCLUSIONS
The goal of revision surgery for recurrent goiter is total thyroidectomy. Prevention is a rational management scheme for thyroid nodules.
Clinique chirurgicale A du CHU Ibn Sina Rabat-Maroc, France.
H O
HO
El Malki
R
R
Mohsine
S
S
El Mazouz
K
K
Aït Taleb
M C
MC
Chefchaouni
S
S
Oulbacha
L
L
Ifrine
A
A
Belkouchi
H
H
Elalaoui
A
A
Maaouni
S
S
Balafrej
D000293:Adolescent; D000328:Adult; D005260:Female; D006042:Goiter / Q000601:surgery*; D006801:Humans; D006996:Hypocalcemia / Q000453:epidemiology; D061224:Laryngeal Nerve Injuries; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D012008:Recurrence; D012086:Reoperation; D013965:Thyroidectomy