
14/09/2024
Presenting everyone One of the challenging Thyroidectomy I have performed till date.
Patient had a Thyroid swelling since 8-9 years. With mild Hyperthyroidism.
On work-up it was diagnosed to be a Multi-nodular Goitre. Patient was made Euthyroid before surgery.
It was challenging because of short neck, trachea was pushed anteriorly by the lateral growth of the gland, displacing larynx in the front and Carotid vessels medialy.
Fibroptic awake intubation was done expertly by Anesthetist Dr Ganesh Kolhe. And we proceeded to surgery.
Due to long standing Thyroid swelling, patient had multiple vascular supply and draining veins.
After a long enduring surgery we were successfully able to excise the entire gland leaving behind small 5-6 gm of thyroid tissue at the left Superior pole.
Procedure was uneventful and patient extubated successfully with no vocal cord paralysis.