Goiter surgery recommendations in sub-saharan Africa in humanitarian cooperation
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- dc.contributor.author Gil Martinez, José
- dc.contributor.author González, Miguel
- dc.contributor.author Hernández, Quiteria
- dc.contributor.author Rodríguez, María Angeles
- dc.contributor.author Torregrosa, Nuria
- dc.contributor.author Gil, Elena
- dc.contributor.author Cascales, Pedro Antonio
- dc.contributor.author Delgado, Miguel Angel
- dc.contributor.author Sancho Insenser, Juan
- dc.contributor.author López-López, Victor
- dc.contributor.author Rodríguez, José Manuel
- dc.date.accessioned 2022-11-23T07:37:58Z
- dc.date.available 2022-11-23T07:37:58Z
- dc.date.issued 2022
- dc.description.abstract Background: the standard treatment for endemic goiter is usually total thyroidectomy. In low- and middle-income countries, the management of thyroid disease, which is commonplace in fully developed countries, is not always possible. The purpose of this study is to establish a treatment algorithm to calculate the extent of thyroidectomy based on the risk factors of each patient. Methods: this is a retrospective observational study conducted during the period between 2017 and 2019. A total of 287 patients with thyroid pathology were treated in Maragua Hospital (Kenya). The results of surgical treatment were analyzed after the implementation of an individualized treatment protocol. Results: one hundred and sixty patients with different types of goiter underwent surgery: solitary nodule (54.4%), multi-nodular goiter (30.6%), diffuse goiter (10.6%), and intrathoracic goiter (3.8%). The techniques used were hemithyroidectomy (78.8%), Dunhill thyroidectomy (9.4%), bilateral subtotal thyroidectomy (6.9%), and total thyroidectomy (3.1%). There was no mortality. The surgical morbidity rate was 16% (only one major complication (3b)). Two cases of dysphonia were resolved in the first week. There were three cases of symptomatic hypocalcaemia, two of which resolved in the first week and the other of which was definitive. The follow-up at 6 months was 67%. The cancer rate found in the resection specimens was 5%. Discussion: the implementation of individualized surgical protocols for thyroid surgery in sub-Saharan Africa can improve outcomes. The cooperation projects can increase access to complex surgical treatment for patients with limited resources in low- and middle-income countries.
- dc.format.mimetype application/pdf
- dc.identifier.citation Gil Martínez J, González M, Hernández Q, Rodríguez MA, Torregrosa N, Gil E, et al. Goiter surgery recommendations in sub-saharan Africa in humanitarian cooperation. Laryngoscope Investig Otolaryngol. 2022 Mar 9; 7(2):417-24. DOI: 10.1002/lio2.764
- dc.identifier.doi http://dx.doi.org/10.1002/lio2.764
- dc.identifier.issn 2378-8038
- dc.identifier.uri http://hdl.handle.net/10230/54980
- dc.language.iso eng
- dc.publisher Wiley
- dc.rights Copyright © 2022. Gil Martínez J, González M, Hernández Q, Rodríguez MA, Torregrosa N, Gil E, et al. Laryngoscope Investigative Otolaryngology published by Wiley Periodicals LLC on behalf of The Triological Society. This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
- dc.rights.accessRights info:eu-repo/semantics/openAccess
- dc.rights.uri http://creativecommons.org/licenses/by-nc-nd/4.0/
- dc.subject.keyword Goiter
- dc.subject.keyword Humanitarian cooperation
- dc.subject.keyword Sub‐Saharan Africa
- dc.subject.keyword Thyroid surgery
- dc.title Goiter surgery recommendations in sub-saharan Africa in humanitarian cooperation
- dc.type info:eu-repo/semantics/article
- dc.type.version info:eu-repo/semantics/publishedVersion