DIAGNOSTIC AND THERAPEUTIC STRATEGY IN MANAGEMENT
OF THYROID HYDROCARBONS IN SURGICAL SURGERY : ABOUT 89
CASES

D. D. Erguibi*, , R. Boufettal, S.R. Jai And F. Chehab.
Page No. 17-25

Our studyconsists in reporting the experience of the General Surgery Service Wing III, CHU Ibn
Rochd Casablanca, in the management of thyroid goitres, in order to analyze the anatomo-clinical
aspects, the means of investigation, management in a surgical environment. We collected data on 89
cash in the service between June 2013 and June 2015. The initial assessment included an
examination, a complete clinical examination and a paraclinical assessment mainly made of a
thyroid ultrasound and a hormonal thyroid assessment made mainly of the TSH. The meanage of
our patients was 49 years and the sex ratio was 11.71 (82F / 7H). The duration of evolution was
more than 2 yearsin 31% of the cases, 58% of the patients had consulted for an asymptomatic mass.
Our patients were thyroids in 100% of cases. Ultrasound showed multi heteronodular goitre in 89%
of cases and 34% of cases were classified TIRADS 3. There was no evidence of diploid character in
all cases. The reconciled pathologies were benignin 86% of cases and malignantin 14% of cases,
the latter being mainly represented by papillary carcinoma (9.76%).The surgical technique
represented by total thyroidectomyin 100% of cases in ourseries, systematically associating nerve
research recurrence and parathyroids, showed post-operative results not very different from
published studies in particular recurrent complications (5.61%) and parathyroid (16.85%).
Keywords: Thyroid, goiter, thyroidectomy complication.