[Surgical treatment of Basedow's disease. Retrospective study of 40 cases].
Graves' disease is an autoimmune disorder. Its diagnosis is easy. Its treatment is delicate in lack of etiologic treatment. We report a retrospective study of 40 cases operated in nine years period. The failure of the medical treatment constituted the main operative indication in our series (57.5%). A subtotal thyroidectomy have been accomplished in 72.5% and total thyroidectomy in 22.5% of cases. We noted one case of definitive hypoparathyroidism after surgery. Our endocrinal results were characterised by the occurrence of hyperthyroidism in 2 cases after subtotal thyroidectomy. For many authors, surgery is the best treatment of graves' disorder and the actual tendency is to realise a total thyroidectomy. Our results encourage us to adhere to the therapeutic method.
Ben Gamra
Olfa
O
Service O.R.L. et de chirurgie cervico-faciale, Hôpital Habib Thameur, Tunis.
Rezig
Nabil
N
Kharrat
Salima
S
Zribi
Sarra
S
Mbarek
Chiraz
C
el Khedim
Abdelkader
A
D000293:Adolescent; D000328:Adult; D005260:Female; D006111:Graves Disease / Q000473:pathology / Q000601:surgery*; D006801:Humans; D007011:Hypoparathyroidism / Q000209:etiology; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D013965:Thyroidectomy / Q000379:methods*; D016896:Treatment Outcome