Subtotal Thyroidectomy under Local Anesthesia in a Pregnant Woman Presenting with Giant Goiter: A Case Study
B. Eke
Department of Surgery, College of Health Sciences, Benue State University, Makurdi, Nigeria.
B. A. Ojo *
Department of Histopathology, College of Health Sciences, Benue State University, Makurdi, Nigeria.
A. O. Ojabo
Department of Obstetrics and Gynaecology, College of Health Sciences, Benue State University, Makurdi, Nigeria.
M. T. Maanongun
Department of Obstetrics and Gynaecology, College of Health Sciences, Benue State University, Makurdi, Nigeria.
V. I. Ugwu
Department of Pathology, National Orthopaedics Hospital, Enugu, Nigeria.
E. O. Umobong
Department of Laboratory Medicine, State House Hospital, Abuja, Nigeria.
M. Ogiator
Department of Medicine, College of Health Sciences, Benue State University, Makurdi, Nigeria.
P. Abayol
Federal Medical Center, Makurdi, Nigeria.
M. Efu
Department of Surgery, College of Health Sciences, Benue State University, Makurdi, Nigeria.
Chukwukadibia N. Ahachi
Department of Surgery, College of Health Sciences, Benue State University, Makurdi, Nigeria.
Priscilla Denen Akaa
Department of Surgery, College of Health Sciences, Benue State University, Makurdi, Nigeria.
*Author to whom correspondence should be addressed.
Abstract
Thyroid surgery is performed by most surgeons in practice using general anesthesia. In resource poor developing nations with paucity of anesthetists, anesthetic drugs and equipment, it can be done under local anesthesia with acceptable results. We report a case of a 17 week pregnant woman who presented with giant goiter and respiratory obstructive symptoms. Post-op, she carried the pregnancy to term with safe delivery. She was followed up for two years with no morbidity recorded. Thyroidectomy using local anesthesia is safe and cost effective and applicable to a wide range of patients, including those who pose a general anesthetic risk.
Keywords: Giant goiter, subtotal thyroidectomy, local anesthesia.