What are the contraindications for thyroidectomy?

Updated: May 08, 2018
  • Author: Neerav Goyal, MD, MPH; Chief Editor: Arlen D Meyers, MD, MBA  more...
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Answer

Answer

Uncontrolled severe hyperthyroidism (ie, Graves disease) is a relative contraindication to surgery due to concerns for intraoperative or postoperative thyroid storm. Although thyroidectomy can be performed during pregnancy for malignancy, many authors cite postponing surgery until after delivery if possible, secondary to risks to the fetus from the anesthesia. Indications for surgery during pregnancy include aggressive cancers or airway compromise. If elective thyroid surgery is undertaken during pregnancy, it should be performed during the second trimester if possible. [6, 7]


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