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Abstract The range of indications for total thyroidectomy in the treatment of thyroid diseases is steadily increasing, but any attempt to assess its real efficacy necessarily calls for aknowledge of the incidence of complications, amongst other things in order to provide the patient with complete information regarding the operation before obtaining his or her consent our study is based on the detection of postoperative complications of total thyroidectomy. We found that, in experienced hands who do proper pre-operative preparation, systemic identification of the recurrent laryngeal nerves, meticulous dissection of the parathyroid glands with preservation of its intact blood supply and avoiding ligation of the main trunk of the inferior thyroid artery and doing auto transplantation of at least one parathyroid gland, the operation can be done with minimal morbidity. A large study on a large number of patients with postoperative follow-up is recommended. |