Is revision surgery following thyroidectomy safe?

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

Answer

Terris et al describes a population of 321 patients undergoing reoperative surgery under experienced hands for benign thyroid disease. In this population, no patient suffered transient or permanent RLN injury from the reoperative surgery and one patient had temporary hypoparathyroidism. [36]

In a review by Ruggiero and Fedok, the complication rates for reoperation for both well-differentiated thyroid cancer as well as medullary thyroid cancer were described and found to be higher. Although generally regarded as safe, and with the suggestion that intraoperative nerve monitoring may provide benefit, [37] the overall complication rates were directly correlated to the degree of aggressiveness with the second operation. [38]


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