Management Of Toxic Multinodular Goiters.

Introduction: Goiter is a very common endocrine pathology worldwide. The aim of this study is to study the epidemiological, clinical, biological, radiological, therapeutic and post- operative profile of multi-nodular toxic goiters treated in the general surgery department, Seti University Hospital. Patients and methods: Between January 2017 and December 2023, 134 patients were operated on for toxic multi-nodular goiter in the general surgery department, Seti University Hospital. Epidemiological, clinical, radiological and therapeutic data were analyzed from the files of operated patients according to a retrospective study. Results: One hundred and thirty-four patients were operated on over a period of 7 years. The female gender was dominant (58%). Clinical signs of thyrotoxicosis were present in all patients, mainly tachycardia and palpitations. Ultrasound revealed multi-nodular goiters in all patients. Hormonal dosage showed a decrease in TSH (us) in all cases and an increase in T4 in % of patients. Medical preparation was carried out in all patients before total thyroidectomy. Morbidity consisted of temporary recurrent damage, transient hypocalcemia and postoperative hematoma. Discussion: Surgical treatment is the standard treatment for toxic multinodular goiters. The management of toxic multi-nodular goiters requires medical preparation before any surgical procedure. Conclusion: Toxic multi-nodular goiters require preoperative medical preparation to avoid intraoperative bleeding and the occurrence of thyrotoxicosis attacks postoperatively.