An Evaluation of the Factors Affecting Failure of the Procedure in reoperated Thyroidectomies: A Retrospective Analysis

Basit Öğe Kaydı
dc.authoridOZDEMIR, EGEMEN/0000-0002-8022-8245
dc.authoridÇomçalı, Bülent/0000-0002-2111-1477
dc.authoridSaylam, Barış/0000-0001-9080-4974
dc.authoridSaylam, Barış/0000-0001-9080-4974
dc.authorwosidOZDEMIR, EGEMEN/GVT-6777-2022
dc.authorwosidÇomçalı, Bülent/AGD-8986-2022
dc.authorwosidSaylam, Barış/CAF-0771-2022
dc.authorwosidSaylam, Barış/AFT-3859-2022
dc.contributor.authorComcali, Bulent
dc.contributor.authorOzdemir, Buket A.
dc.contributor.authorAtas, Hakan
dc.contributor.authorOzdemir, Egemen
dc.contributor.authorTikici, Deniz
dc.contributor.authorSaylam, Baris
dc.date.accessioned2024-08-04T20:51:35Z
dc.date.available2024-08-04T20:51:35Z
dc.date.issued2022
dc.departmentİnönü Üniversitesien_US
dc.description.abstractBackground The aim of this study was to determine the factors affecting procedure failure in revision thyroidectomy surgery. Methods A total of 148 patients applied with revision surgery were separated into 2 groups according to the surgical success status. Comparisons were made of the 2 groups of patients where residual tissue was totally excised (Group 1, n:132) and patients where residual tissue could not be completely excised (Group 2, n:16). The patients were examined in respect of factors affecting the success of the procedure. Results The patients comprised 133 (89.9%) females and 15 (10.1%) males with a mean age of 49.68 +/- 12.02 years. Surgical failure was observed in 7 patients as the lesion could not be determined despite the use of intraoperative USG, and in 9 patients because of weak signal or signal loss. The determination of residual tissue <= 25mm on preoperative USG examination was seen to have a significant negative effect on surgical success (r=-0.329, p0.001). The patient having undergone >= 3 previous operations was determined to have a negative effect on surgical success (r=-0.229, p=0.005), and nerve damage on the opposite side to the lesion in a previous surgical procedure was determined to be the most important factor with a negative effect on surgical success (r=-0.571, p<0.001). In multinomial logistic regression analysis of the factors affecting success, the preoperative presence of nerve damage in the contralateral lobe to the lesion (OR: 33.11, 95% CI: 4.22-192.28, p<0.001) and lesion size <= 25 mm (OR: 10.10, 95% CI: 3.54-75.01, p=0.001) were determined to contribute significantly to surgical failure. Conclusion The results of this study clearly showed that as residual tissue size <= 25mm and contralateral nerve damage in the preoperative ultrasonographic evaluation are associated with surgical failure, alternative treatment methods such as radioactive iodine ablation may be preferred in these patients.en_US
dc.identifier.doi10.1177/00031348211023426
dc.identifier.endpage2044en_US
dc.identifier.issn0003-1348
dc.identifier.issn1555-9823
dc.identifier.issue8en_US
dc.identifier.pmid34978214en_US
dc.identifier.scopus2-s2.0-85122292026en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage2039en_US
dc.identifier.urihttps://doi.org/10.1177/00031348211023426
dc.identifier.urihttps://hdl.handle.net/11616/100397
dc.identifier.volume88en_US
dc.identifier.wosWOS:000739403400001en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherSage Publications Incen_US
dc.relation.ispartofAmerican Surgeonen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectRevison surgeryen_US
dc.subjectsurgical failureen_US
dc.subjectintraoperative neuromonitorisationen_US
dc.titleAn Evaluation of the Factors Affecting Failure of the Procedure in reoperated Thyroidectomies: A Retrospective Analysisen_US
dc.typeArticleen_US

Dosyalar

Koleksiyon

WoS İndeksli Yayınlar Koleksiyonu
PubMed İndeksli Yayın Koleksiyonu
Scopus İndeksli Yayınlar Koleksiyonu