الفهرس 
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Abstract
There is continuous evolution in surgical management of thyroid
diseases , from highly morbid to highly sophisticated surgery with
minimal or even no morbidity since the first thyroidectomy introduced by
Theodore Kocher 1880 .
The aim of the surgical treatment in benign thyroid disease is to
treat with the less complications rate and decrease recurrence rate
nowadays there is uprising rate for total excision instead of subtotal
excision in benign thyroid disease the rates of complications associated
with total extracapsular thyroidectomy are 0.9% for recurrent nerve palsy
0.9% for hypocalcemia, and 0.6% for secondary hemorrhage.
New technique evolved to minimize this complications this
technique is called intracapsular total thyroidectomy and its idea is to
keep the RLN away from the the dissection of the thyrios tissue and also
the parathyroid gland .
In our study we aim to evaluate the safety and effectiveness of the
new intracapsular technique in total thyroidectomy to treat benign thyroid
diseases. This study was carried out on 58 patients aged from 58 patients
with nonmalignant thyroid disease underwent surgical treatment. they all
underwent intracapsular total thyroidectomy .
the patients mean age was 36.39±9.8 years range from (18-55 )
years. Twenty patients were males (34.48%) males and thirty eight were
females (65.52).
from the 58 patients twenty eight patients were diagnosed with
simple multinodular goiter twelve were primary toxic goiter and eighteen
patients were diagnosed with secondary toxic goiter . in fifty eight patients was no postoperative recurrent laryngeal nerve injury found (0%) which is statitiscally significant .
no postoperative hypocalcaemia manifestations which is statistically
significant .we found no postoperative SLN injury (low-pitched voice )
found 3 (5 %) patients wound was complicated with seroma .operative
blood loss mean was 110±50 ml and hospital stay was 1.01 ± .5 day.