Effect of preoperative potassium iodide administration on gr
Now open: Certificate Course in Management of Covid-19 by Govt. Of Gujarat and PlexusMDKnow more...Now open: Certificate Course in Management of Covid-19 by Govt. Of Gujarat and PlexusMDKnow more...
Preoperative administration of a saturated solution of potassium iodide (SSKI) is recommended in the guidelines for the management of hyperthyroidism due to Graves’ disease. This study shows no differences in the main postoperative complications.

Retrospective multicenter Propensity Score study of patients undergoing total thyroidectomy for Graves' disease, from January 2013 to September 2019 in Spain was done. 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.

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, permanent hypoparathyroidism, transient recurrent laryngeal nerve (RLN) palsy, definitive RLN palsy, or cervical hematoma.

Conclusively, preoperative administration of SSKI had no impact on postoperative complications after thyroidectomy for Graves’ disease.

The American Journal of Surgery
Source: https://doi.org/10.1016/j.amjsurg.2021.04.023
Like
Comment
Share