Nigerian Journal of Clinical Practice

ORIGINAL ARTICLE
Year
: 2008  |  Volume : 11  |  Issue : 1  |  Page : 37--40

Thyroidectomy under local anaesthesia : how safe?


MA Misauno, MG Yilkudi, AL Akwaras, HY Embu, EO Ojo, NK Dakum, AZ Sule, BT Ugwu 
 Department of Surgery, Jos University Teaching Hospital, Abuja

Correspondence Address:
M A Misauno
Department of Surgery, Jos University Teaching Hospital, Abuja

BACKGROUND: In order to compliment the inadequate health facilities in the rural areas in Nigeria, nongovernmental organisations provide adhoc outreach health camps that offer treatment in various medical specialties including surgery. SETTING: Rural outreach health camps. OBJECTIVE: To evaluate the safety of thyroidectomy under local anaesthesia at rural outreach setting with inadequate facilities for general anaesthesia. PATIENTS AND METHODS: This was a prospective descriptive study of 33 consecutive cases of thyroidectomy performed using field block with 1% lignocaine and adrenaline 1: 200,000 dilution during two free medical outreaches that held at Jos, Nigeria in March and October 2005 respectively, lasting two weeks each. RESULTS: A total of 33 primary thyroid operations were performed consisting of 30 subtotal thyroidectomies (91%), 2 lobectomies (6%) and one total thyroidectomy (3%), The patients were aged between 23 and 62 years with a mean age of 45.8 years. There were 3 males and 30 females with a male: female ratio of 1:10. There was no mortality but morbidity was 2/33 (6%) Two complications were recorded in 2 patients and were superficial surgical site infection (3%) and reactionary haemorrhage (3%). CONCLUSION: We conclude that thyroidectomy under local anaesthesia is a safe procedure in experienced hands at rural settings with inadequate facilities for general anaesthesia.


How to cite this article:
Misauno M A, Yilkudi M G, Akwaras A L, Embu H Y, Ojo E O, Dakum N K, Sule A Z, Ugwu B T. Thyroidectomy under local anaesthesia : how safe?.Niger J Clin Pract 2008;11:37-40


How to cite this URL:
Misauno M A, Yilkudi M G, Akwaras A L, Embu H Y, Ojo E O, Dakum N K, Sule A Z, Ugwu B T. Thyroidectomy under local anaesthesia : how safe?. Niger J Clin Pract [serial online] 2008 [cited 2022 May 18 ];11:37-40
Available from: https://www.njcponline.com/article.asp?issn=1119-3077;year=2008;volume=11;issue=1;spage=37;epage=40;aulast=Misauno;type=0