Mangalore, 30 October: KMC Hospital has successfully treated a 72-year-old patient, Mahesh (name changed) suffering from a large, long-standing multinodular goitre that had become symptomatic and started causing compressive symptoms. Despite the challenges posed by the patient’s age, multiple co-morbidities, and surgical risks, the team of specialists ensured a safe and successful outcome. The surgery was led by a multidisciplinary team including Dr. Avinash K (Laparoscopic & General Surgeon), Dr. Manohar Pai (General Surgeon), and anesthetists Dr. Sunil and Dr. Frieda, KMC Hospital Mangalore whose combined expertise ensured the patient’s safety throughout the complex procedure.
The patient presented with a visibly prominent goitre but fortunately showed no signs of invasion or suspicious lymphadenopathy. What made the case complex was not just the size of the thyroid growth but also the patient’s medical background. Advanced age, a difficult airway, and multiple co-morbidities including cerebrovascular disease, hypertension, benign prostatic hypertrophy, and diabetes significantly increased both anesthesia and surgical risks. The tumour size measured 18×12 cm.
Speaking about the case, Dr. Avinash K, Laparoscopic & General Surgeon, said, “This case illustrates that even in high-risk elderly patients with multiple co-morbidities, large multinodular goitres can be safely managed with surgery. A team-based approach, appropriate perioperative care, and careful surgical technique are key to minimizing complications and ensuring optimal outcomes.”
The surgery was technically demanding due to the size of the goitre, distorted anatomy, dense adhesions, and its proximity to important neurovascular structures. Limited neck extension further added to the complexity. However, with meticulous planning and execution, the procedure was successfully carried out. The patient was safely discharged on the fifth postoperative day.
With this successful case, KMC Hospital once again highlights its commitment to delivering advanced surgical care even in high-risk scenarios. The hospital continues to set benchmarks in offering specialized treatment backed by expert teams and modern infrastructure.
About Manipal Hospitals
As a pioneer in healthcare, Manipal Hospitals is among the top healthcare providers in India serving over 7 million patients annually, with a focus on providing affordable, high-quality healthcare services. Manipal’s integrated network today has a pan-India footprint of 38 hospitals across 19 cities with 10,500+ beds, and a talented pool of 7,200+ doctors and an employee strength of over 20,500.
Manipal Hospitals provides comprehensive curative and preventive care for a multitude of patients from around the globe. Manipal Hospitals is NABH, AAHRPP accredited and most of the hospitals in its network are NABL, ER, Blood Bank accredited and recognized for Nursing Excellence.