scholarly journals Summary Survey of the Surgical Treatment for Thyroid Diseases

1998 ◽  
Vol 8 (2) ◽  
pp. 125-129
Author(s):  
Hirobumi Kumazawai ◽  
Takuya Tachikawa ◽  
Hisaya Yukawa ◽  
Toshihiko Kaneko ◽  
Toshio Yamashita ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Thyroid Diseases

scholarly journals MODERN SURGICAL INTERVENTIONS IN PATIENTS WITH THYROID DISEASES

2019 ◽  
Vol 21 (1) ◽  
pp. 69-72
Author(s):  
D D Dolidze ◽  
A V Shabunin ◽  
R B Mumladze ◽  
A V Vardanyan ◽  
I N Lebedinskiy ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Stress Test ◽  
Thyroid Diseases ◽  
Endocrine Surgery ◽  
Surgical Interventions ◽  
Postoperative Hypoparathyroidism ◽  
Operative Complications ◽  
Cosmetic Effect ◽  
Methodological Approaches ◽  
Group Ii

The study is based on the analysis of the results of surgical treatment of 298 patients with various diseases of the thyroid gland, who were examined and treated in the department of endocrine surgery of the City Clinical Hospital named after S. P. Botkin from 2012 to 2016. 147 (49.3%) patients of the I group were operated on using extrafascial technique with intersection of the prelaryngeal muscles and visualization of the recurrent laryngeal nerve. 151 (51.7%) patients of group II underwent extrafascial surgical interventions from reduced migratory approaches using modern, including original, methodological approaches. For the prevention of paresis of the larynx in the allocation of recurrent laryngeal nerves, microsurgical instruments and magnifying devices were used. For the prevention of postoperative hypoparathyroidism, in addition to carefully accounting for anatomical and topographic-anatomical features, a «stress-test» and a method of double visual-instrumental recording of the parathyroid gland-induced fluorescence were used. In the first group of patients with surgical treatment, the following complications were recorded: in 2 (1.4%) patients developed permanent, in 8 (5.4%) transient postoperative hypoparathyroidism, and in 3 (2.0%) - temporary unilateral laryngeal paresis. The overall incidence of operative complications was 8.8% (13 patients). In the postoperative period, the following complications were recorded in group II: 2 (1.3%) patients developed transient hypocalcemia, and 1 (0.7%) patient had unilateral laryngeal paresis. The overall incidence of operative complications was 1.99% (3 patients). Analysis of the cosmetic result of the intervention, assessed on the POSAS scale, showed that cosmetic effect was better in group II (p 0.05). Thus, modern surgical interventions in patients with thyroid diseases, including new methodological approaches, have improved the results of surgical treatment with a decrease of the number of complications and achieving a better cosmetic effect of the surgical intervention.

scholarly journals The first experience of laser spectroscopy in the surgical treatment of thyroid diseases

2019 ◽  
Vol 45 (1) ◽  
pp. 17-20
Author(s):  
P. S. Vetshev ◽  
K. E. Chilingaridi ◽  
L. I. Ippolitov ◽  
S. S. Harnas ◽  
V. B. Loshchenov ◽  
...  
Keyword(s):  
Thyroid Cancer ◽  
Surgical Treatment ◽  
Laser Spectroscopy ◽  
Histological Analysis ◽  
Follicle Cell ◽  
Rapid Diagnosis ◽  
Thyroid Diseases ◽  
Subtotal Resection ◽  
Intraoperative Rapid Diagnosis

For assessing the efficacy of intraoperative laser autofluorescent spectroscopy (IOLAS), 46 patients with thyroid diseases of different etiology are examined. The patients ’ aged varied from 30 to 65 years. The following morphological types of diseases were observed: benign nodular formations in 42 patients, thyroid cancer in 4, papillary TINO MO in 2, and follicular cancer TINO MO in 2 cases. Out of benign formations, 36 were multinodular colloid goiter and 6 follicle-cell adenomas. As a result of using IOLAS, thyroid cancer was diagnosed during surgery in 8 (17.4%) out of 36 patients with multinodular colloid goiter; this diagnosis necessitated more extensive intervention than was planned: subtotal resection had to be extended to thyroidectomy. In all the cases IOLAS data were confirmed by urgent and later planned histological analyses. Due to this method, no reoperations were needed, which previously had to be performed because of the data of planned histological analysis, and therefore, the probable complications of reoperations were prevented. Our data indicate that IOLAS more accurately identifies the type and morphology of thyroid involvement and helps choose adequate volume of intervention. The first experience with laser fluorescent study as optic biopsy holds good promise as regards improvement of intraoperative rapid diagnosis of thyroid diseases.

scholarly journals On the question of physical therapy for thyroid diseases

1929 ◽  
Vol 25 (10) ◽  
pp. 1079-1091
Author(s):  
I. M. Ginsberg
Keyword(s):  
Surgical Treatment ◽  
Physical Therapy ◽  
Thyroid Diseases ◽  
Clinical Material ◽  
Graves Disease ◽  
X Ray ◽  
Surgical Method ◽  
The Past

There is still no common, universally recognized approach in the therapy of Graves' disease, Gravesism and simple strumas. A number of clinics surgical, therapeutic, nervous, and physiotherapeutic claim to play a role in the treatment of these diseases. The brilliant results of surgical treatment have sufficiently revealed the value of the surgical method, but comparatively young physiotherapy, in particular X-ray therapy, are now actively attracting the attention of specialists to resolve this issue. Thus, if, thanks to the accumulated observations, the participation of each of these clinics is undoubtedly necessary, then the share of participation and the place that belongs to each of them, despite the large number of works on this issue, is still a problem of the day. Only further accumulation of observations on clinical material can bring us closer to solving this problem. That is why it seems interesting to summarize the observations that have accumulated at the Leningrad Physiotherapeutic Institute over the past 6 years (1923-1928 will include). This development also has the advantage that it is made on polyclinic material, which, in contrast to the stationary one with prevailing severe forms, has a variety from initial to classically completed forms.

Concomitant thyroid disease in patients operated for primary hyperparathyroidism

2021 ◽  
Vol 100 (1) ◽  
Keyword(s):  
Surgical Treatment ◽  
Primary Hyperparathyroidism ◽  
Hospital Stay ◽  
Thyroid Surgery ◽  
Thyroid Disease ◽  
Thyroid Diseases ◽  
University Hospital ◽  
Endocrine Diseases ◽  
Parathyroid Disease ◽  
Group 2

Introduction: Parathyroid and thyroid diseases are ones of the most common endocrine diseases, but simultaneous surgical treatment of both endocrine systems is still under discussion. Methods: We retrospectively evaluated 1,574 patients operated for primary hyperparathyroidism at the 3rd Department of Surgery, 1st Faculty Medicine, Charles University and University Hospital Motol in Prague with the thyroid and parathyroid ultrasound reports available. The patients were divided into two groups – with and without thyroid surgery. Results: Thyroid surgery was performed in 34% of patients with primary hyperparathyroidism. Group 2, where thyroid surgery was performed, showed a higher proportion of reported abnormal thyroid sonographic findings (74%), a higher proportion of bilateral throat exploration (69%) and a longer hospital stay (3.3 days). Conclusion: A patient indicated for surgery for parathyroid disease should also be indicated for possible thyroid surgery.

Surgical treatment of thyroid diseases in elderly patients

2010 ◽  
Vol 200 (4) ◽  
pp. 467-472 ◽  
Author(s):  
Marco Raffaelli ◽  
Rocco Bellantone ◽  
Pietro Princi ◽  
Carmela De Crea ◽  
Esther D. Rossi ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Elderly Patients ◽  
Thyroid Diseases

scholarly journals Epidemiology and results of surgical treatment of euthyroid and toxic goiter depending on the peculiarities of clinical course, tracheal compression and comorbidity

2020 ◽  
Vol 66 (1) ◽  
pp. 87-92
Author(s):  
Elena A. Ilyicheva ◽  
Gleb A. Bersenev ◽  
Valeriy N. Makhutov ◽  
Gennadiy Yu. Aldaranov ◽  
Eugene G. Grigoryev
Keyword(s):  
Pulmonary Hypertension ◽  
Surgical Treatment ◽  
Thyroid Gland ◽  
Multinodular Goiter ◽  
Thyroid Diseases ◽  
External Respiration ◽  
Tracheal Compression ◽  
Toxic Goiter ◽  
Endocrine Surgeon ◽  
Benign Thyroid

BACKGROUND: At the time of seeking medical help, some patients have nodular/multinodular goiter of large and gigantic sizes, which leads to compression of the neck organs. In the structure of benign diseases, neck compression is diagnosed in 10% of cases, and tracheal narrowing is found in 84% of patients in this group. It was experimentally established that narrowing of the trachea leads to the development of hypertension in the pulmonary circulation. Patients with nodular/multinodular goiter with compression of the neck organs belong to the age group of 50 years and older, the peculiarity of which is comorbidity of varying severity. Cardiopulmonary syndromes may mask compression of the organs of the neck by the thyroid gland. As a rule, patients come and/or go to a cardiologist, pulmonologist, gastroenterologist and other specialists, as a result of which the timelines for timely surgical treatment are missed. Often, patients are delivered to the endocrine surgeon urgently due to the development of asphyxiation. The symptoms of impaired external respiration and the initial manifestations of pulmonary hypertension, as a result of compression syndrome, preceding this condition are evaluated only retrospectively. AIMS: To study the frequency of tracheal compression and symptoms of chronic hypoxia in the structure of benign thyroid diseases requiring surgical treatment, as well as an assessment of the nature of comorbid pathology and the results of surgical treatment. METHODS: A retrospective analysis of the results of surgical treatment of benign thyroid diseases for the period from March to August 2019 was carried out (100 observations). RESULTS: Toxic goiter prevailed in the structure of benign thyroid diseases (74%). Tracheal compression was observed in 69% of cases. When trachea was compressed, arterial hypertension statistically significantly prevailed (2, p0.01). The appearance of wheezing on inhalation/exhalation and an increase in its frequency were detected when the trachea narrowed to the thyroid gland to 10 mm or less in 10 cases (10%) with a statistically significant prevalence of pulmonary hypertension (2, p0.01). Thyroidectomy prevailed in the structure of operations (80%). There was no statistically significant increase in surgical complications depending on the severity of tracheal compression, age, and concomitant pathology. There were no fatal outcomes. CONCLUSIONS: Surgical treatment of patients with benign thyroid diseases complicated by compression of the neck organs is also shown safely regardless of age and associated pathology.

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