scholarly journals Experience of 1166 Thyroidectomy without Use of Prophylactic Antibiotic

2014 ◽  
Vol 2014 ◽  
pp. 1-5 ◽  
Author(s):  
Qiang Lu ◽  
Shu-Qin Xie ◽  
Si-Yuan Chen ◽  
Li-Ju Chen ◽  
Qian Qin
Keyword(s):  
Short Duration ◽  
Prophylactic Antibiotic ◽  
Nodular Goiter ◽  
Recurrent Nerve ◽  
Nerve Paralysis ◽  
Secondary Hemorrhage ◽  
Single Side ◽  
Perioperative Antibiotics ◽  
Partial Thyroidectomy ◽  
Recurrent Nerve Paralysis

Background. Although the procedure requires a small surgical incision and a short duration, incision infection rate is very low in thyroidectomy; however, doctors still have misgivings about infection events.Aim. We retrospectively analyzed the prevention of incision infection without perioperative use of antibacterial medications following thyroidectomy.Materials and Methods. 1166 patients of thyroidectomy were not administered perioperative antibiotics. Unilateral total lobectomy or partial thyroidectomy was performed in 68.0% patients with single-side nodular goiter or thyroid adenoma. Bilateral partial thyroidectomy was performed in 25.5% patients with nodular goiter or Graves’ disease. The mean time of operation was 80.6 ± 4.87 (range: 25–390) min.Results.Resuturing was performed in two patients of secondary hemorrhage from residual thyroid following bilateral partial thyroidectomy. Temporally recurrent nerve paralysis was reported following right-side total lobectomy and left-side subtotal lobectomy in a nodular goiter patient. One case had suppurative infection in neck incision 5 days after bilateral partial thyroidectomy.Conclusions. Thyroidectomy, which is a clean incision, involves a small incision, short duration, and minor hemorrhage. If the operation is performed under strict conditions of sterility and hemostasis, antibacterial medications may not be required to prevent incision infection, which reduces cost and discourages the excessive use of antibiotics.

Analysis of Recurrent Nerve Paralysis after Esophagectomy

2015 ◽  
Vol 66 (6) ◽  
pp. 385-390 ◽  
Author(s):  
Makoto Miyamoto ◽  
Tomofumi Sakagami ◽  
Masao Yagi ◽  
Eri Miyata ◽  
Koichi Tomoda ◽  
...  
Keyword(s):  
Recurrent Nerve ◽  
Nerve Paralysis ◽  
Recurrent Nerve Paralysis

Quantification of vocal fold motion using echography: application to recurrent nerve paralysis detection

2015 ◽  
Author(s):  
Mike-Ely Cohen ◽  
Muriel Lefort ◽  
Héloïse Bergeret-Cassagne ◽  
Siham Hachi ◽  
Ang Li ◽  
...  
Keyword(s):  
Vocal Fold ◽  
Recurrent Nerve ◽  
Nerve Paralysis ◽  
Recurrent Nerve Paralysis ◽  
Vocal Fold Motion

PS01.174: AN EXAMINATION OF OUTCOMES AFTER ANTE-THORACIC ROUTE WITH RIGHT HEMICOLON RECONSTRUCTION AFTER ESOPHAGECTOMY.

2018 ◽  
Vol 31 (Supplement_1) ◽  
pp. 99-99
Author(s):  
Yuki Hirata ◽  
Hirofumi Kawakubo ◽  
Shuhei Mayanagi ◽  
Kazumasa Fukuda ◽  
Rieko Nakamura ◽  
...  
Keyword(s):  
Postoperative Complications ◽  
Gastric Tube ◽  
Conflicts Of Interest ◽  
Average Duration ◽  
Oral Intake ◽  
Recurrent Nerve ◽  
Nerve Paralysis ◽  
Recurrent Nerve Paralysis ◽  
Reconstruction Group ◽  
Group 1

Abstract Background In our institute, we usually use gastric tube for reconstruction organ after esophagectomy. When we can’t use gastric tube, we use right hemi-colon with ante-thoracic route. Previously, we reconstructed by 1-step after esophagectomy, but from 2012, we have done by 2-step for reduce postoperative complications. Methods We enrolled 15 esophageal cancer patients who underwent esophagectomy and right hemicolon reconstruction between April 2004 and December 2016. Results The average age of 15 patients is 67.3. The reasons of using right hemicolon are as follows; post gastrectomy 13, stomach double cancer 2. The reasons of gastrectomy are as follows; gastric cancer 8, duodenum cancer 1, gastric ulcer 4. The average duration from gastrectomy to esophagectomy is 12.5 year. We reconstructed by 1-step for 5 patients, and after 2012, we reconstructed by 2-step for 10 patients. Anastomotic leakages were found in 2 cases (40.0%) in 1-step reconstruction group, and 3 cases (20.0%) in 2-step reconstruction group. In 1-step reconstruction group, 1 case occurred multiple anastomotic leakages and DIC, and another 1 case was found necrosis of reconstructive colon. In 2-step reconstruction group, we found 1 case of major leakage and 1 case of recurrent nerve paralysis and 2 cases of postoperative pneumonia. However, there were no case of tracheotomy. The incidence of pneumonia did not differ between the two groups. And the term of postoperative oral intake tend to shorter in 2-step reconstruction group (P = 0.06). 2 severe postoperative complications (Clavian-Dindo V or IVa) cases were found in 1-step reconstruction group, on the other hand, 2 cases severe complications (CD IIIa) in 2-step reconstruction group. Conclusion In the case of using right hemicolon as a reconstructive organ, 2-step reconstruction approach is useful and superior from the viewpoints of postoperative complications. Disclosure All authors have declared no conflicts of interest.

Transcutaneous PCO2 monitoring in the evaluation of hyperventilation of patients with recurrent nerve paralysis

1999 ◽  
Vol 256 (S1) ◽  
pp. S47-S50 ◽  
Author(s):  
H. Miyazaki ◽  
H. Yamashita ◽  
T. Masuda ◽  
T. Yamamoto ◽  
S. Komiyama
Keyword(s):  
Recurrent Nerve ◽  
Nerve Paralysis ◽  
Pco2 Monitoring ◽  
Recurrent Nerve Paralysis

scholarly journals A Case Report of Temporary Recurrent Nerve Paralysis after Resection of Big Cervical Anterior Osteophyte

2011 ◽  
Vol 60 (1) ◽  
pp. 101-104
Author(s):  
Kenta Momii ◽  
Kazutoshi Nakaie ◽  
Jyunya Ogata ◽  
Shinichi Fukumoto ◽  
Ryuichi Taen
Keyword(s):  
Case Report ◽  
Recurrent Nerve ◽  
Nerve Paralysis ◽  
Recurrent Nerve Paralysis

Recurrent Laryngeal Nerve Section for Spastic Dysphonia

1976 ◽  
Vol 85 (4) ◽  
pp. 451-459 ◽  
Author(s):  
Herbert H. Dedo
Keyword(s):  
Vocal Cord ◽  
Speech Therapy ◽  
Clinical Observation ◽  
Recurrent Nerve ◽  
Nerve Section ◽  
Nerve Paralysis ◽  
The Past ◽  
Vocal Quality ◽  
Recurrent Nerve Paralysis

Spastic dysphonia is a severe vocal disability in which a person speaks with excessively adducted vocal cords. The resulting weak phonation sounds tight, as if he were being strangled, and has also been described as laryngeal stutter. It is often accompanied by face and neck grimaces. In the past it has been regarded as psychoneurotic in origin and treated with speech therapy and psychotherapy with disappointing results. Because of laboratory and clinical observation that recurrent nerve paralysis retracts the involved vocal cord from the midline, it was proposed that deliberate section of the recurrent nerve would improve the vocal quality of patients with spastic dysphonia. In 34 patients the recurrent nerve was sectioned after Xylocaine® temporary paralysis showed significant improvement in vocal quality. Several patients have been advised against this operation because of the type of voice they developed with one vocal cord temporarily paralyzed. With nerve section plus postoperative speech therapy, approximately half of the patients have returned close to a “normal” but soft phonatory voice. The rest had varying degrees of improvement, but all, so far, have been pleased with the improvement in ease and quality of phonation and reduction or elimination of face and neck grimaces. Two men have a breathy component in their phonatory voices, and one woman has variable pitch.

Effects of a computer‐based voice modification device for a speaker with recurrent nerve paralysis

1999 ◽  
Vol 106 (4) ◽  
pp. 2247-2247
Author(s):  
Noriko Kobayashi ◽  
Hajime Hirose ◽  
Kenji Matsui ◽  
Noriyo Hara
Keyword(s):  
Recurrent Nerve ◽  
Nerve Paralysis ◽  
Computer Based ◽  
Recurrent Nerve Paralysis

Vocal Cord Positioning by Selective Denervation Old Territory Revisited

1980 ◽  
Vol 89 (6) ◽  
pp. 541-546 ◽  
Author(s):  
Clarence T. Sasaki ◽  
Masatoshi Horiuchi ◽  
Takestugu Ikari ◽  
John A. Kirchner
Keyword(s):  
Vocal Cord ◽  
Sagittal Plane ◽  
Major Determinant ◽  
Controversial Issue ◽  
Recurrent Nerve ◽  
Vocal Cords ◽  
Nerve Paralysis ◽  
Cricothyroid Muscle ◽  
Recurrent Nerve Paralysis

Vocal cord positioning produced by selective laryngeal denervation remains a controversial issue in clinical laryngology. Previous studies fail to arrive at uniform conclusions for two important reasons: 1) failure to mark a reference sagittal plane from which to assess the degree of vocal cord lateralization, and 2) failure to recognize the influence of tracheostomy and respiratory positioning of the vocal cords. The present study makes use of photographic and electromyographic documentation in the assessment of the paralyzed cord. Physiologic inactivation of the cricothyroid muscle by tracheostomy is a key determinant of the lateralized cord observed in acute low vagal and recurrent nerve paralysis. Tracheostomy-related cricothyroid inactivation cannot be ignored as a major determinant of cord positioning in paralysis and should not be overlooked in determining the neuroanatomic site of injury.

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