In aspect of some studies , which have revealed the higher risk of perioperative complications among older patients undergoing thyroid surgery, the indications for strumectomy in our patients were accurately analyzed and based on the classical standards.
The same authors say that benign, asymptomatic MNG in opposite to younger population is very rare indication for strumectomy in elderly patients (9.1% versus 66.6%).
Kovac AL and Gan TJ observed that certain surgical like abdominal, laparoscopic, ophthalmic, gynaecological, neurological, plastic and aesthetic or middle ear surgery and strumectomy
and anaesthetic management influencing PONV include premedication, type of anaesthesia, induction agents used, opioids, nasogastric suction, muscle relaxation reversal, anaesthesiologist's experience, etc.
Mitrovic  found that vocal cord paresis was most often due to a neck surgery (strumectomy
) in 38% of patients, and idiopathic causes followed immediately, being found in 24% of patients.
Surgical treatment ranges from total abdominal hysterectomy, plus bilateral salpingo-oophorectomy with omentectomy, to conservative surgery, involving unilateral oophorectomy or strumectomy
(cystectomy), for preservation of fertility.
Two years after the onset of thyroid disease she underwent partial strumectomy
and 6 years ago received two sessions of radioactive iodine with a total dose of 763 MBq and intravenous corticosteroid therapy in repeated cycles.