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Tytuł pozycji:

Effect of preoperative potassium iodide administration on Graves' disease surgery: a propensity score analysis.

Tytuł :
Effect of preoperative potassium iodide administration on Graves' disease surgery: a propensity score analysis.
Autorzy :
Barranquero AG; General and Digestive Surgery Department, Hospital Universitario Ramón y Cajal, Madrid, Spain. Electronic address: .
Muñoz de Nova JL; General and Digestive Surgery Department, Hospital Universitario de La Princesa, Madrid, Spain.
Gómez-Ramírez J; General and Digestive Surgery Department, Hospital Universitario Ramón y Cajal, Madrid, Spain.
Valdés de Anca Á; General and Digestive Surgery Department, Hospital Universitario de La Princesa, Madrid, Spain.
Porrero B; General and Digestive Surgery Department, Hospital Universitario Ramón y Cajal, Madrid, Spain.
Blanco Terés L; General and Digestive Surgery Department, Hospital Universitario de La Princesa, Madrid, Spain.
Corral S; General and Digestive Surgery Department, Hospital Universitario Ramón y Cajal, Madrid, Spain.
Martín-Pérez E; General and Digestive Surgery Department, Hospital Universitario de La Princesa, Madrid, Spain.
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Źródło :
American journal of surgery [Am J Surg] 2021 Apr 27. Date of Electronic Publication: 2021 Apr 27.
Publication Model :
Ahead of Print
Typ publikacji :
Journal Article
Język :
English
Imprint Name(s) :
Publication: Belle Mead, NJ : Excerpta Medica
Original Publication: New York.
Contributed Indexing :
Keywords: Complications; Graves’ disease; Lugol; Potassium iodide; Thyroidectomy
Entry Date(s) :
Date Created: 20210504 Latest Revision: 20210504
Update Code :
20210506
DOI :
10.1016/j.amjsurg.2021.04.023
PMID :
33941360
Czasopismo naukowe
Background: Preoperative administration of a saturated solution of potassium iodide (SSKI) is recommended in the guidelines for the management of hyperthyroidism due to Graves' disease. Studies addressing its effect on complications after thyroidectomy are inconclusive.
Methods: Retrospective multicenter Propensity Score study of patients undergoing total thyroidectomy for Graves' disease, from January 2013 to September 2019 in two tertiary centers in Madrid, Spain. Patients were given SSKI prior to surgery or not according to surgeons' preferences. Electronic clinical records were reviewed searching: baseline characteristics surgical variables, pathological findings, and postoperative complications.
Results: Ninety patients were analyzed: 44 received SSKI and 46 were not given SSKI. No significant differences were found in the main postoperative complications with or without SSKI: transient hypoparathyroidism (40.9% vs. 50%), permanent hypoparathyroidism (6.8% vs. 13%), transient recurrent laryngeal nerve (RLN) palsy (2.3% vs. 8.7%), definitive RLN palsy (2.3% vs. 2.2%), or cervical hematoma (2.3% vs. 4.3%).
Conclusion: Preoperative administration of SSKI had no impact on postoperative complications after thyroidectomy for Graves' disease.
(Copyright © 2021. Published by Elsevier Inc.)

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