Abstract

COLMENARES ARREAZA, Guillermo  and  COLMENARES GUERRA, Guillermo. Tiroidectomía casi total sin lugol en la enfermedad de Graves-Basedow. Gac Méd Caracas [online]. 2002, vol.110, n.1, pp.35-40. ISSN 0367-4762.

The authors analyze a modified surgical treatment of the traditional surgery of Graves-Basedow hyperthyroidism that started in 1984 and finished in 1994. These changes consisted in not using the iodine preparation lugol as a preoperative medication, it shortened the time of hospitalization making it easier and economical. Complications were the same as the traditional method. The second change was a near total thyroidectomy, since it is easier to visualize the laryngeal nerves, parathyroid glands and is bloodless. A small quantity of thyroid gland was left over implying less recurrent hyperthyroidism. The results were: a. Laryngeal bilateral paresia (1 case), b. Transitory hypoparathyroidism (2 cases), c. hypothyroidism (5 cases), d. Recurrent Hyperthyroidism none, e. Weight of operated gland 55 g. f. Exophthalmos’ improvement (subjective and objective), g- Euthyroidism (11 cases). We concluded that near total thyroidectomy without previous iodine preparation is an alternative in the surgical treatment of Graves-Basedow disease

Keywords : Hyperthyroidism; Graves-Basedow; Lugol; Surgery.