{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,12,6]],"date-time":"2024-12-06T05:13:39Z","timestamp":1733462019266,"version":"3.30.1"},"reference-count":29,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2024,11,4]],"date-time":"2024-11-04T00:00:00Z","timestamp":1730678400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2024,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The practice of day care surgery is less embraced in many low\u2010middle\u2010income countries (LMIC), and even less for some procedures considered major such as thyroidectomy. Here we examine the safety of day care thyroidectomy at Kyabirwa Surgical Center, a stand\u2010alone day care surgery center in rural Eastern Uganda.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This was a retrospective cohort study conducted between 2019 and 2023. All patients who had day care thyroidectomy were included. Demographics, diagnosis, investigation findings, pathology reports, and surgery outcomes were collected. Postoperative follow\u2010up data up to 30\u00a0days were also collected. Data were analyzed using R version 4.3.2.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 51 patients underwent same\u2010day thyroidectomy, with an average age of 44.9\u00a0\u00b1\u00a012.1\u00a0years and 98% female. Procedures included total thyroidectomy (5, 9.8%), subtotal thyroidectomy (26, 51.0%), and lobectomy (20, 39.2%). Average size of the glands was 7.9\u00a0\u00b1\u00a02.21\u00a0cm. The majority 46 (90.2%) were of benign pathology. All patients were discharged by the evening of the same day. Complications encountered included hypocalcemia (1), hypertrophic scar (1), seroma (2), and transient recurrent\u00a0laryngeal nerve injury (1). Overall complications rate was 9.8%. Gland size was statistically significant between patients with no complications (7.68\u00a0\u00b1\u00a02.06\u00a0cm) versus complications (9.90\u00a0\u00b1\u00a02.82, <jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00.05).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>With overall low complication rates, these findings suggest that thyroidectomy can safely be performed on a day care basis in a rural LMIC setting with suboptimal health care delivery.<\/jats:p><\/jats:sec>","DOI":"10.1002\/wjs.12383","type":"journal-article","created":{"date-parts":[[2024,11,5]],"date-time":"2024-11-05T03:34:31Z","timestamp":1730777671000},"page":"2873-2879","source":"Crossref","is-referenced-by-count":0,"title":["Safety of thyroidectomy as day care surgery at a rural setting in Eastern Uganda"],"prefix":"10.1002","volume":"48","author":[{"given":"Joseph","family":"Okello Damoi","sequence":"first","affiliation":[{"name":"Global Surgical Initiatives Inc. Kyabirwa Surgical Center  Jinja City Uganda"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marnie","family":"Abeshouse","sequence":"additional","affiliation":[{"name":"Department of Surgery Icahn School of Medicine Mount Sinai Hospital  New York City New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Angellica","family":"Giibwa","sequence":"additional","affiliation":[{"name":"Global Surgical Initiatives Inc. Kyabirwa Surgical Center  Jinja City Uganda"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Moses","family":"Binoga","sequence":"additional","affiliation":[{"name":"Global Surgical Initiatives Inc. Kyabirwa Surgical Center  Jinja City Uganda"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1842-857X","authenticated-orcid":false,"given":"Allen T.","family":"Yu","sequence":"additional","affiliation":[{"name":"Department of Surgery Icahn School of Medicine Mount Sinai Hospital  New York City New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paul K.","family":"Okeny","sequence":"additional","affiliation":[{"name":"Department of Surgery College of Health Sciences Makerere University  Kampala Uganda"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Celia","family":"Divino","sequence":"additional","affiliation":[{"name":"Department of Surgery Icahn School of Medicine Mount Sinai Hospital  New York City New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael L.","family":"Marin","sequence":"additional","affiliation":[{"name":"Department of Surgery Icahn School of Medicine Mount Sinai Hospital  New York City New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Denise","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Surgery Icahn School of Medicine Mount Sinai Hospital  New York City New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,11,4]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599813477823"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1089\/thy.2012.0218"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.26934"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1742\u20101241.2006.01234.x"},{"issue":"6","key":"e_1_2_9_6_1","article-title":"Analysis of Safety of Short\u2010Stay Thyroid Surgery","volume":"29","author":"Dedivitis R. 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