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Gland Surgery

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https://www.readbyqxmd.com/read/30178784/neural-monitoring-in-endocrine-neck-surgery
#1
EDITORIAL
Mustapha El Lakis, Electron Kebebew
No abstract text is available yet for this article.
August 2018: Gland Surgery
https://www.readbyqxmd.com/read/30175070/the-role-of-palbociclib-in-thyroid-carcinoma-with-braf-mutation
#2
EDITORIAL
Nikolaos Tsoukalas, Konstantinos Tsapakidis, Krystallenia I Alexandraki
No abstract text is available yet for this article.
August 2018: Gland Surgery
https://www.readbyqxmd.com/read/30175069/continuous-and-intermitted-nerve-monitoring-in-thyroid-surgery-two-complementary-devices
#3
EDITORIAL
Hui Sun, Guido Nicola Zanghì, Francesco Freni, Gianlorenzo Dionigi
No abstract text is available yet for this article.
August 2018: Gland Surgery
https://www.readbyqxmd.com/read/30175068/completion-thyroidectomy-via-the-transoral-endoscopic-vestibular-approach
#4
Christopher R Razavi, Ralph P Tufano, Jonathon O Russell
The safety and efficacy of the transoral endoscopic thyroidectomy vestibular approach (TOETVA) continues to be verified with the growing literature in regards to the procedure. While early cases were thyroid lobectomies performed for benign disease, the indications for TOETVA have now expanded to include total thyroidectomy for select small well-differentiated thyroid cancers (DTCs). Oncologic efficacy of this procedure remains unproven at this time, as the procedure was described only recently. Furthermore, as many of the cases completed via TOETVA are often diagnostic lobectomies, the appropriate management for patients requiring or opting for further surgical intervention per American Thyroid Association (ATA) guidelines has not been established...
August 2018: Gland Surgery
https://www.readbyqxmd.com/read/30175067/management-of-gynecomastia-changes-in-psychological-aspects-after-surgery-a-systematic-review
#5
REVIEW
Martin Sollie
Gynecomastia affects up to two-thirds of the male population. For many patients the psychological impact of the disease is substantial. Surgical treatment is indicated when medical treatments fail. Until now, most published research on the subject has focused on how effective surgical treatment is on correcting the cosmetic appearance of the breast. Little is known about the effect of surgical treatment on the psychological aspects of the disease. The aim of this review was to identify the psychological domains affected by the disease and the effect of surgical treatment on these...
August 2018: Gland Surgery
https://www.readbyqxmd.com/read/30175066/acellular-dermal-matrix-in-implant-based-immediate-breast-reconstructions-a-comparison-of-prepectoral-and-subpectoral-approach
#6
Mihir Navin Chandarana, Sadaf Jafferbhoy, Sekhar Marla, Soni Soumian, Sankaran Narayanan
Background: Implant-based immediate breast reconstruction (IBR) is the most common technique for post-mastectomy reconstructions in the United Kingdom (UK). Subpectoral implant placement is the conventional method of reconstruction. Placement of implant in the subcutaneous pocket covered by an acellular dermal matrix (ADM) is a relatively recent approach. We report a comparative analysis of prepectoral versus subpectoral approach for implant-based IBR from a single institution in the UK...
August 2018: Gland Surgery
https://www.readbyqxmd.com/read/30175065/the-use-of-tranexamic-acid-in-microsurgery-is-it-safe
#7
Alessia M Lardi, Kathrin Dreier, Klaus Junge, Jian Farhadi
Background: An appropriate and adequate blood flow and oxygen delivery is paramount to free flap viability and success. The perioperative use of tranexamic acid (TXA) is associated with less risk for blood loss and blood transfusion in trauma, gynaecology, ear nose and throat (ENT) and orthopaedic surgery. As an antifibrinolytic drug, TXA has generally been avoided in microsurgery. The aim of this study is to evaluate the safety and benefit of using TXA in microsurgery. Methods: We performed a retrospective single centre cohort study at the Pyramid Clinic, Zurich, Switzerland, including 98 free tissue transfers for breast reconstruction from 2011 to 2013...
August 2018: Gland Surgery
https://www.readbyqxmd.com/read/30175064/management-protocol-for-primary-hyperparathyroidism-in-a-single-institution-utility-of-surgeon-performed-ultrasound
#8
Vikrum Thimmappa, Aaron Smith, Joshua Wood, Courtney B Shires, Sarah Langsdon, Merry Sebelik
Background: We aimed to: (I) discover preoperative diagnostic studies, intraoperative techniques, and patient factors most predictive of cure within a single hospital system; (II) establish practice guidelines for surgical treatment of primary hyperparathyroidism to maximize outcomes based on this hospital system's performance. Methods: A retrospective chart review was undertaken of all parathyroid-related procedures from 01/01/02 to 7/31/15 at the Veteran's Administration Hospital...
August 2018: Gland Surgery
https://www.readbyqxmd.com/read/30175063/variations-and-results-of-retroauricular-robotic-thyroid-surgery-associated-or-not-with-neck-dissection
#9
Renan Bezerra Lira, Thiago Celestino Chulam, Luiz Paulo Kowalski
Background: Technological advances in the last decades allowed significant evolution in head and neck surgery toward less invasive procedures, with better esthetic and functional outcomes, without compromising oncologic soundness. Although robotic thyroid surgery has been performed for some years now and several published series reported its safety and feasibility, it remains the center of significant controversy. This study shows the results of a case series of robotic thyroid surgery, combined or not with robotic neck dissection...
August 2018: Gland Surgery
https://www.readbyqxmd.com/read/30175062/hemostatic-agent-use-in-thyroid-surgery-a-meta-analysis
#10
Helmi Khadra, Mohamed Bakeer, Adam Hauch, Tian Hu, Emad Kandil
Background: The use of hemostatic agents in thyroid surgery has been widely reported in the literature. The aim of this study is to assess the safety and efficacy of hemostatic agents in comparison to conventional techniques for hemostasis by meta-analysis of the current literature. Methods: Articles were identified from PubMed and EMBASE using the following keyword searches: "hemostatic agent and thyroid surgery" and "hemostatic agent and thyroidectomy"...
August 2018: Gland Surgery
https://www.readbyqxmd.com/read/30175061/tailored-surgery-according-to-molecular-analysis-in-differentiated-thyroid-carcinomas
#11
REVIEW
Paolo Miccoli, Gabriele Materazzi, Elisabetta Macerola, Sohail Bakkar
Papillary thyroid carcinoma (PTC) is an often indolent disease implying a long survival and in most of the cases an excellent prognosis, but there is still a limited percentage of cases where, in spite of their pre-operative conventional staging, these tumors could better be treated through a more selective surgical approach. Small PTC in fact are generally considered as "low risk" tumors but using simply a TNM classification might lead to a limited surgery such as unilateral hemithyroidectomy, in particular according to the most recent guidelines of the American Thyroid Association...
August 2018: Gland Surgery
https://www.readbyqxmd.com/read/30175060/molecular-testing-in-the-diagnosis-of-differentiated-thyroid-carcinomas
#12
REVIEW
Silvia Martina Ferrari, Poupak Fallahi, Ilaria Ruffilli, Giusy Elia, Francesca Ragusa, Sabrina Rosaria Paparo, Salvatore Ulisse, Enke Baldini, Riccardo Giannini, Paolo Miccoli, Alessandro Antonelli, Fulvio Basolo
Different genetic mutations and other molecular alterations in papillary thyroid cancer (PTC) and follicular thyroid cancer (FTC) can be detected in fine-needle aspiration (FNA) of thyroid nodules, and can be used successfully to ameliorate cancer diagnosis and management of patients with thyroid nodules. The greatest experience has been obtained with the diagnostic use of BRAF mutation that is strongly specific for malignancy when detected using well-validated techniques. The strongest diagnostic result can be obtained testing FNA samples for a panel of mutations that typically involve TERT, BRAF, PAX8/PPARγ, RAS, and RET/PTC...
August 2018: Gland Surgery
https://www.readbyqxmd.com/read/30175059/how-to-handle-borderline-precursor-thyroid-tumors-in-management-of-patients-with-thyroid-nodules
#13
REVIEW
Kennichi Kakudo
Thyroid carcinomas originating from follicular cells have the prognosis of heterogeneous diseases, but pathologists classify them all as malignant disease. Epidemiologists have issued a stern warning regarding over-diagnosis and overtreatment of patients with indolent thyroid tumors that cause no harm to the patients. Review of the literature revealed that there were several proposals of borderline/precursor tumors to some indolent thyroid carcinomas. Thyroid tumor of uncertain malignant potential (UMP) was first proposed by Williams for encapsulated follicular pattern thyroid tumors to solve problems due to observer variation...
August 2018: Gland Surgery
https://www.readbyqxmd.com/read/30175058/current-methodologies-for-molecular-screening-of-thyroid-nodules
#14
REVIEW
Elisabetta Macerola, Fulvio Basolo
Several molecular tests have been developed for thyroid cytology with the main purpose to define the nature of indeterminate nodules in presurgical phase thus overcoming the limitations of cytological analysis. Molecular tests currently available for thyroid nodules are based on a variety of methodologies and display peculiar strengths and limitations: in this review of the literature they are summarized and critically discussed. The use of molecular diagnostics for thyroid cytology is increasingly widespread and accepted, however large, prospective validation studies are still needed to ultimately demonstrate the clinical efficacy of a wide incorporation of molecular tests into clinical practice...
August 2018: Gland Surgery
https://www.readbyqxmd.com/read/30175057/osteoporosis-and-musculoskeletal-complications-related-to-therapy-of-breast-cancer
#15
REVIEW
Johanna Suskin, Charles L Shapiro
Aromatase inhibitors (AIs) are the treatment of choice for the majority of postmenopausal women with estrogen receptor (ER) positive breast cancers in early and advanced stage settings. One of most frequent side effects of AIs is bone loss that is of sufficient magnitude to increase risk of osteoporotic fractures. Osteoporosis is primarily a complex genetic disease with few modifiable risk factors. As the lifespan increases, and breast mortality decreases, more women with breast cancer will be at risk of osteoporotic fractures, or falls that result in fractures...
August 2018: Gland Surgery
https://www.readbyqxmd.com/read/30175056/sexuality-fertility-and-pregnancy-following-breast-cancer-treatment
#16
REVIEW
Mary Lopresti, Tina Rizack, Don S Dizon
For women facing a new diagnosis of breast cancer, treatments can result in changes to intimate issues, including sexual health. For women of reproductive age, other significant concerns include the potential impact on fertility and the safety of pregnancy after treatment. These issues are important to acknowledge and to address, as they can impact on quality of life, not only for the patient, but may impact relationships, both present and future. In this paper we review sexual health after cancer, the importance of proactively addressing fertility, and important issues related to pregnancy following breast cancer...
August 2018: Gland Surgery
https://www.readbyqxmd.com/read/30175055/breast-cancer-related-lymphedema-risk-factors-precautionary-measures-and-treatments
#17
REVIEW
Tessa C Gillespie, Hoda E Sayegh, Cheryl L Brunelle, Kayla M Daniell, Alphonse G Taghian
Breast cancer-related lymphedema (BCRL) is a negative sequela of breast cancer treatment, and well-established risk factors include axillary lymph node dissection (ALND) and regional lymph node radiation (RLNR). BCRL affects approximately 1 in 5 patients treated for breast cancer, and it has a significant negative impact on patients' quality of life after breast cancer treatment, serving as a reminder of previous illness. This paper is a comprehensive review of the current evidence regarding BCRL risk factors, precautionary guidelines, prospective screening, early intervention, and surgical and non-surgical treatment techniques...
August 2018: Gland Surgery
https://www.readbyqxmd.com/read/30175054/late-complications-of-radiation-therapy-for-breast-cancer-evolution-in-techniques-and-risk-over-time
#18
REVIEW
Zachary Brownlee, Rashi Garg, Matthew Listo, Peter Zavitsanos, David E Wazer, Kathryn E Huber
Radiation therapy in combination with surgery, chemotherapy, and endocrine therapy as indicated, has led to excellent local and distant control of early stage breast cancers. With the majority of these patients surviving long term, mitigating the probability and severity of late toxicities is vital. Radiation to the breast, with or without additional fields for nodal coverage, has the potential to negatively impact long term cosmetic outcome of the treated breast as well as cause rare, but severe, complications due to incidental dosage to the heart, lungs and contralateral breast...
August 2018: Gland Surgery
https://www.readbyqxmd.com/read/30175053/long-term-effects-of-modern-breast-cancer-surgery
#19
REVIEW
Abhishek Chatterjee
Breast cancer surgery includes a wide array of surgical treatment options. Not only does it involve the oncologic excision of the breast cancer disease but it also involves the reconstruction of the breast. Surgical treatment options vary with regards to the size of the tumor relative to the size of the breast further complicated by the preferences of the patient and the ability of the available surgeon(s). The goal of this paper is to highlight major long-term effects, positive and negative, of modern breast cancer surgery...
August 2018: Gland Surgery
https://www.readbyqxmd.com/read/30175052/cardio-oncology-protecting-the-heart-from-curative-breast-cancer-treatment
#20
REVIEW
Jenica N Upshaw
Patients with breast cancer have higher rates of cardiovascular disease than age-matched controls. Anthracyclines and trastuzumab increase the risk of heart failure (HF) and radiation increases the risk of ischemic heart disease, valvular disease and HF. Older age, low normal ejection fraction, history of coronary artery disease (CAD), cardiac risk factors, higher cumulative anthracycline exposure, combination anthracycline and trastuzumab and/or radiation all increase the risk of cardiac events post treatment...
August 2018: Gland Surgery
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