Dysfunction Following Thyroid Surgery
Condition: Thyroidectomy Intervention: Procedure: Thyroidectomy Sponsor: Assiut University Not yet recruiting
Conclusion: Our findings, along with other reports, suggest that MKIs is an effective neoadjuvant therapy and should be considered as a therapeutic strategy for unresectable grossly locally invasive thyroid carcinomas.
This population-based cohort study uses the Health Insurance Review and Assessment database of South Korea to examine the association between adverse pregnancy outcomes and radioactive iodine treatment after thyroidectomy among South Korean women of childbearing age with thyroid cancer.
Authors: Karakış A, Tapar H, Özsoy Z, Suren M, Dogru S, Karaman T, Karaman S, Sahin A, Kanadlı H Abstract INTRODUCTION: Bilateral Superficial Cervical Plexus Block (BSCPB) is a common method used for analgesia in thyroid surgery. We investigated the analgesic efficacy of bilateral superficial cervical plexus block in the intraoperative and postoperative periods. MATERIALS AND METHODS: Patients (n = 46) undergoing thyroidectomy were randomly separated into the following 2 groups: the General Anesthesia Group (GA; n = 23) and the general anesthesia plus BSCPB Group (GS; n = 23). The in...
CONCLUSIONS: A novel combined sonographic and elastosonographic parameter evaluation improved diagnostic accuracy for identifying thyroid nodules suspicious of malignancy. PMID: 31625708 [PubMed - as supplied by publisher]
ConclusionOverall, the GBI scores are positive, thereby showing an improvement in quality of life since having total thyroidectomy for Graves. Pre-operative communication was of paramount importance. It should be made clear to patients that they will require medication after surgery. The majority of patients stated they would prefer to know about “minor” post -operative side effects like weight gain or mood change post op. This highlights the importance of the consenting process- Montgomery Ruling-that clinicians explain the risks involved with surgery according to what the patient would deem a risk. In additio...
Conclusion: NTT for GD is not superior to TT regarding transient postoperative hypoparathyroidism.
ConclusionLevothyroxine-induced liver injury is a rare, and in the present case report, a self-limiting, adverse effect. The diagnosis of our patient was confirmed via noninvasive diagnostic methods. Knowledge of this rare adverse effect is important in the differential diagnosis of patients who have commenced on levothyroxine and have deranged liver enzymes in the context of hypothyroidism.
Thyroidectomy is a definitive treatment for hyperthyroidism. The purpose of this study is to examine how often patients with hyperthyroidism are referred for thyroidectomy and what are the common reasons for referral.
ConclusionsAlthough higher PTH was associated with worse intracerebral autoregulation, cerebrovascular function, cognition and mood were normal in mild PHPT. PTX did not improve vascular or cognitive function. The observed improvement in mood cannot be clearly attributed to PTX. Notwithstanding the small sample size, the results do not support changing current criteria for parathyroidectomy to include cognitive complaints. However, the associations between PTH, cognition and cerebral autoregulation merit future studies in those with more severe hyperparathyroidism.
AbstractPurposeWe assessed the optimal time for intact parathyroid hormone (iPTH) measurement for early detection of post-total thyroidectomy (TT) hypocalcemia in patients with papillary thyroid carcinoma (PTC).MethodsIn this single-center prospective cohort study, 143 patients who underwent TT with central neck dissection with or without lateral neck dissection for PTC were included. Biochemical profiles including iPTH, corrected total calcium, and ionized calcium within 24 h after surgery were analyzed.ResultsThe 4-h postoperative iPTH was the most reliable predictor of post-TT transient or permanent hypoparathyroidism (...