{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T14:59:58Z","timestamp":1777906798441,"version":"3.51.4"},"reference-count":15,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2000,10,1]],"date-time":"2000-10-01T00:00:00Z","timestamp":970358400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Trop Doct"],"published-print":{"date-parts":[[2000,10]]},"abstract":"<jats:p>This is a retrospective analysis of 82 patients undergoing thyroid operations in a general medical practice hospital in sub-Saharan Africa. All patients complained of neck swelling, and in 75% of patients this was the only symptom. Indications for operation included cosmesis in 74%, suspected malignancy in 13%, hyperthyroidism in 7% and pressure symptoms in 5%. Operative complications included recurrent laryngeal nerve injury in two (2.4%), wound haematoma in two (2.4%), wound infection in three (3.6%) and hypoparathyroidism in one (1.2%). There were no deaths and no instances of thyroid storm. Thyromegaly can be operatively managed in a hospital such as ours with a relatively low morbidity rate using conservative gland extirpation techniques. This conservative approach may result in under treatment for thyroid maligancies but should result in a lower incidence of recurrent nerve damage and hypoparathyroidism in the majority of people who undergo thyroidectomy solely for cosmetic indications.<\/jats:p>","DOI":"10.1177\/004947550003000413","type":"journal-article","created":{"date-parts":[[2017,1,15]],"date-time":"2017-01-15T14:42:49Z","timestamp":1484491369000},"page":"221-223","source":"Crossref","is-referenced-by-count":2,"title":["Operative Management of Thyroid Abnormalities in a General Medical Practice Hospital in Sub-Saharan Africa"],"prefix":"10.1177","volume":"30","author":[{"given":"David A","family":"OlaOlorun","sequence":"first","affiliation":[{"name":"Department of Surgery, Baptist Medical Centre, Ogbomoso, Nigeria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Donald E","family":"Meier","sequence":"additional","affiliation":[{"name":"Department of Surgery, Baptist Medical Centre, Ogbomoso, Nigeria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John L","family":"Tarpley","sequence":"additional","affiliation":[{"name":"Department of Surgery, Baptist Medical Centre, Ogbomoso, Nigeria"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2000,10,1]]},"reference":[{"key":"bibr1-004947550003000413","doi-asserted-by":"crossref","first-page":"235","DOI":"10.7326\/0003-4819-123-3-199508010-00017","volume":"123","author":"LaRosa GL","year":"1995","journal-title":"Ann Int Med"},{"key":"bibr2-004947550003000413","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-119-6-199309150-00009"},{"key":"bibr3-004947550003000413","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM198707093170202"},{"key":"bibr4-004947550003000413","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2265.1992.tb02898.x"},{"key":"bibr5-004947550003000413","doi-asserted-by":"publisher","DOI":"10.1016\/S0025-7125(16)30479-5"},{"key":"bibr6-004947550003000413","unstructured":"Zollinger RMJr, Zollinger RM. 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