Pyramidal Artery: An Artery to Pyramidal Lobe —A New Nomenclature

AbstractThyroid lobes are supplied by superior and inferior thyroid arteries. We dissected out a specific arterial pattern always present along with a well developed pyramidal lobe. Authors named this as “Pyramidal Artery”. This may be a common unnoticed bleeding site during surgery. Thyroid anomalies are commonly observed as incidental finding during surgery. Presence of pyramidal lobe is the most common finding among other thyroid anomalies due to persistence of thyroglossal duct. Present stud y reported incidence of pyramidal lobe in 41.46% cases and pyramidal lobe branches off more frequently from left lobe than right. Special attention has to be paid during total thyroidectomy in order not to leave the thyroid tissue. Few such anatomical variations and surgical importance of vascular p attern in such cases is discussed in paper.
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - Category: ENT & OMF Source Type: research

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ConclusionTotal thyroidectomy performed by experienced surgeons in the selected group patients under SCB anesthesia is safe and effective.
Source: European Surgery - Category: Surgery Source Type: research
Marco Vacante1, Antonio Biondi1, Francesco Basile1, Roberto Ciuni1, Salvatore Luca1, Salomone Di Saverio2, Carola Buscemi3, Enzo Saretto Dante Vicari3 and Antonio Maria Borzì3* 1Department of General Surgery and Medical-Surgical Specialties, University of Catania, Catania, Italy 2Cambridge Colorectal Unit, Cambridge University Hospitals NHS Foundation Trust, Cambridge, United Kingdom 3Department of Clinical and Experimental Medicine, Specialization School in Geriatrics, University of Catania, Catania, Italy There is a high prevalence of hypothyroidism in the elderly population, mainly among women. The mo...
Source: Frontiers in Endocrinology - Category: Endocrinology Source Type: research
Publication date: Available online 11 April 2019Source: Trends in Anaesthesia and Critical CareAuthor(s): Shreya Agarwal, Preeti GuptaAbstractA 46-year-old woman was scheduled for total thyroidectomy and had modified Mallampati class III airway. After anaesthesia was induced, laryngoscopy revealed Cormack–Lehane grade 3a view of the vocal cords with external laryngeal manipulation. A Portex single-use tracheal tube introducer was first introduced up to 27 cm mark, after eliciting the tracheal click and hold-up signs. A Portex tracheal tube size 7 mm ID was railroaded over the introducer with some difficulty becau...
Source: Trends in Anaesthesia and Critical Care - Category: Anesthesiology Source Type: research
CONCLUSION: Compared to endoscopic thyroidectomy, robotic transaxillary thyroidectomy involved a shorter time for inferior pole dissection and PTGs and RLN identification; moreover, more PTGs were spared using this procedure. PMID: 30902503 [PubMed - as supplied by publisher]
Source: Asian Journal of Surgery - Category: Surgery Authors: Tags: Asian J Surg Source Type: research
ConclusionsThe modified endoscopic thyroidectomy involving dissection of the mental nerve via the oral vestibular approach is safe and feasible. It is beneficial to protect the mental nerve and for specimen removal which is worth clinical promotion.
Source: Surgical Endoscopy - Category: Surgery Source Type: research
AbstractAcoustic respiratory rate (RRa) monitoring is a non-invasive method of monitoring respiratory rate in spontaneously breathing individuals. The aim of this report is to highlight the clinical utility of this monitoring system in post-thyroidectomy patients by presenting a case of respiratory compromise due to post-thyroidectomy hematoma, in which the alarm of the respiratory rate monitor alerted the nursing staff about the complication. A 61-year-old woman who uneventfully underwent right thyroid lobectomy for adenomatous goiter under general anesthesia with endotracheal intubation was being monitored postoperativel...
Source: Journal of Clinical Monitoring and Computing - Category: Information Technology Source Type: research
ConclusionsHemorrhage after TET usually occurs within 24  h, and the main video trocar cavity was the area most likely to bleed. Age and LCD may increase the bleeding risk. Appropriate dissection level is the main solution to prevent postoperative hemorrhage.
Source: Endocrine - Category: Endocrinology Source Type: research
ConclusionIt is feasible to perform LLND (levels II, III, IV, and VI) with endoscopic thyroidectomy via a chest –breast approach. In particular, this technique avoids a large scar on the patient’s neck and has well operative outcomes compared with open surgery. Accordingly, this technique may offer one more option for selective patients.
Source: Surgical Endoscopy - Category: Surgery Source Type: research
ConclusionIn this study, TORT could be safely performed in a large series of patients with PTC without serious complications. In selected patients, TORT by experienced surgeons could be considered an alternative approach for remote access thyroidectomy.
Source: World Journal of Surgery - Category: Surgery Source Type: research
Abstract OBJECTIVE: Despite gaining popularity, bilateral axillo-breast approach robotic thyroidectomy (BABA RT) remains controversial. We performed a meta-analysis to evaluate the safety and effectiveness of BABA RT compared with open thyroidectomy (OT) in thyroid disease. METHODS: A literature search was conducted using various databases, including PubMed, Web of Science, and Cochrane Library, up to February 2018. Outcomes of interest included patient characteristics, surgical outcomes, adverse events, complications, and surgical completeness. RESULTS: A total of 11 publications including 2733 patients...
Source: Surgical Innovation - Category: Surgery Authors: Tags: Surg Innov Source Type: research
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