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Outpatient thyroidectomy

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https://www.readbyqxmd.com/read/27871557/effect-of-adjunctive-dexmedetomidine-on-postoperative-intravenous-opioid-administration-in-patients-undergoing-thyroidectomy-in-an-ambulatory-setting
#1
Kristin Long, Joseph Ruiz, Spencer Kee, Alicia Kowalski, Farzin Goravanchi, Jeff Cerny, Katy French, Mike Hernandez, Nancy Perrier, Elizabeth Rebello
STUDY OBJECTIVE: Two of the most feared complications for patients undergoing thyroid surgery are pain and postoperative nausea and vomiting. Thyroidectomy is considered high risk for postoperative nausea and vomiting, and recent studies have looked at adjuncts to treat pain, limit narcotic use, "fast-track" the surgical process, and enhance recovery without compromising the patient's safety. One such perioperative medication of interest is dexmedetomidine (Dex), a centrally acting α-2 agonist that has been associated with reducing pain and postoperative opioid consumption...
December 2016: Journal of Clinical Anesthesia
https://www.readbyqxmd.com/read/27831518/multivariate-analysis-of-risk-factors-in-the-development-of-a-lower-pitched-voice-after-thyroidectomy
#2
Jun-Ook Park, Ja-Sung Bae, So-Hee Lee, Mi-Ran Shim, Yeon-Shin Hwang, Young-Hoon Joo, Young Hak Park, Dong-Il Sun
OBJECTIVES: Thyroid surgeons frequently encounter outpatients with mobile vocal cords complaining of lower-pitched voices following thyroidectomy. This study investigated the clinical and pathological parameters affecting voice pitch following thyroid surgery. METHODS: We analyzed the data of 393 patients with mobile vocal cords and who also underwent thyroid surgery. Speaking fundamental frequency (SFF) and fundamental frequency (F0) were compared before and after surgery...
November 9, 2016: Annals of Otology, Rhinology, and Laryngology
https://www.readbyqxmd.com/read/27806782/-modified-minimally-invasive-video-assisted-lateral-neck-dissection-for-papillary-thyroid-carcinoma-a-series-of-130-cases
#3
D G Zhang, L Gao, L Xie, G F He, L Fang, J Chen, Y W Miao, Z Z Wang
Objective: To discuss the feasibility, safety and oncologic completeness of modified minimally invasive video-assisted lateral neck dissection (MIVALND) for papillary thyroid carcinoma. Methods: Data of 130 patients from Department of Head and Neck Surgery, Sir Run Run Shaw Hospital, Medical School, Zhejiang University undergoing MIVALND from January 2013 to September 2015 were reviewed retrospectively. There were 31 male and 99 female patients with the mean age of (39±11) years. The thyroidectomy and central compartment dissection were performed under a direct visual field or video-assisted (VA) approach, lateral neck dissection was performed via the VA approach...
November 1, 2016: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
https://www.readbyqxmd.com/read/27738835/remote-access-robotic-facelift-thyroidectomy-a-multi-institutional-experience
#4
William S Duke, F Christopher Holsinger, Emad Kandil, Jeremy D Richmon, Michael C Singer, David J Terris
BACKGROUND: Robotic facelift thyroidectomy (RFT) was developed as a new surgical approach to the thyroid gland using a remote incision site. Early favorable results led to this confirmatory multi-institutional experience. METHODS: Prospectively collected data on consecutive patients undergoing RFT in five North American academic endocrine surgical practices were compiled. Surgical indications, operative times, final pathology, nodule size, complications, and postoperative management (drain use and length of hospital stay) were evaluated...
October 13, 2016: World Journal of Surgery
https://www.readbyqxmd.com/read/27714647/metastasis-of-colon-cancer-to-the-thyroid-and-cervical-lymph-nodes-a-case-report
#5
Shigeki Minami, Keiji Inoue, Junji Irie, Takashi Mine, Nobuhiro Tada, Masataka Hirabaru, Kazumasa Noda, Shinichiro Ito, Masashi Haraguchi
The incidence of thyroid metastasis among colorectal cancer patients is extremely rare. We report a case of colonic adenocarcinoma metastasis to the thyroid gland with treatment of lung and liver metastases, in a 61-year-old woman with a history of colon cancer. She showed a thyroid mass related to a 3-month history of hoarseness. Physical and imaging examinations disclosed a diffuse large thyroid mass with swollen cervical lymph nodes. Fine-needle aspiration cytology of the thyroid mass suggested malignancy...
December 2016: Surgical Case Reports
https://www.readbyqxmd.com/read/27481173/is-there-a-group-of-patients-at-greater-risk-for-hematoma-following-thyroidectomy-a-systematic-review-and-meta-analysis
#6
Alexandra E Quimby, Simon T Wells, Matthew Hearn, Hedyeh Javidnia, Stephanie Johnson-Obaseki
OBJECTIVE: The purpose of this study was to perform a systematic review and meta-analysis to determine whether a difference exists in hematoma rates following thyroidectomy for any of the following subgroups of patients: Graves disease, toxic nodular goiter (TNG), and malignancy. STUDY DESIGN: Systematic review and meta-analysis. METHODS: A systematic literature search was performed for all relevant English and French language studies (1946-2015) using Ovid MEDLINE, EMBASE, and PubMed...
August 2, 2016: Laryngoscope
https://www.readbyqxmd.com/read/27334930/surgeon-volume-in-thyroid-surgery-surgical-efficiency-outcomes-and-utilization
#7
Charles Meltzer, Marc Klau, Deepak Gurushanthaiah, Joanne Tsai, Di Meng, Linda Radler, Alvina Sundang
OBJECTIVES/HYPOTHESIS: To test our hypothesis that high-surgeon volume is associated with improved surgical efficiency and 30-day outcomes, and lower hospital utilization. STUDY DESIGN: Retrospective observational cohort, 2008-2013. METHODS: A total of 3,135 patients with hemithyroidectomy or total thyroidectomy performed by a high-volume surgeon, propensity score-matched to 3,135 patients with the same procedure performed by a low-volume surgeon...
June 23, 2016: Laryngoscope
https://www.readbyqxmd.com/read/27267022/thyroidectomy-hemostasis
#8
REVIEW
Russell B Smith, Andrew Coughlin
Total thyroidectomy has significantly changed over the years from a morbid procedure to one that is performed routinely on an outpatient basis. This article reviews the history of thyroid surgery with regard to hemostasis, discusses surgical vascular anatomy, and describes the methods of hemostasis. It compares traditional hemostatic surgical techniques with newer techniques such as the Harmonic Scalpel and LigaSure hand pieces. The use of adjunctive hemostatic agents and indications for a drain in thyroid are discussed...
June 2016: Otolaryngologic Clinics of North America
https://www.readbyqxmd.com/read/27139800/outcomes-in-thyroid-surgery-are-affected-by-racial-economic-and-healthcare-system-demographics
#9
Zaid Al-Qurayshi, Gregory W Randolph, Sudesh Srivastav, Rizwan Aslam, Paul Friedlander, Emad Kandil
OBJECTIVES/HYPOTHESIS: Disparities in economic and social parameters have been identified as underlying factors that influence diseases outcomes. We aim to examine the influence of community-specific measures on outcomes related to thyroid surgery. STUDY DESIGN: A cross-sectional study utilizing the State Inpatient databases and State Ambulatory Surgery and Services databases, 2010 to 2011. Those databases were merged with the County Health Ranking database. METHODS: The study population included adult (≥18 years) inpatients and outpatients who underwent thyroidectomy...
September 2016: Laryngoscope
https://www.readbyqxmd.com/read/27052798/comparison-of-inpatient-and-outpatient-thyroidectomy-demographic-and-economic-disparities
#10
Z Al-Qurayshi, S Srivastav, E Kandil
BACKGROUND: Thyroidectomy is increasingly being performed as an outpatient procedure. In this study, we aim to examine patient characteristics and clinical factors associated with outpatient thyroid surgeries as compared to inpatient procedures. METHODS: A cross-sectional study for the period of 2007-2010. Inpatients and outpatients were selected from the Nationwide Inpatient Sample and State Ambulatory Surgery and Services Databases, respectively. All patients were adults (≥18 years) who underwent thyroidectomy in the States of Florida and New York...
July 2016: European Journal of Surgical Oncology
https://www.readbyqxmd.com/read/27006296/safety-of-outpatient-thyroid-and-parathyroid-surgery-a-propensity-score-matched-study
#11
Charles Meltzer, Marc Klau, Deepak Gurushanthaiah, Joanne Tsai, Di Meng, Linda Radler, Alvina Sundang
OBJECTIVE: To test our hypothesis that general and thyroid surgery-specific complications, mortality, and postdischarge utilization for patients undergoing outpatient and inpatient thyroid and parathyroid surgery would not differ when outpatient status was defined as discharge within 8 hours of surgery completion. STUDY DESIGN: Retrospective observational cohort, 2008 to 2013. SETTING: Kaiser Permanente Northern California and Kaiser Permanente Southern California...
May 2016: Otolaryngology—Head and Neck Surgery
https://www.readbyqxmd.com/read/26991226/a-case-of-minocycline-induced-black-thyroid-associated-with-papillary-carcinoma
#12
Kohei Nishimoto, Yoshihiko Kumai, Daizo Murakami, Eiji Yumoto
We report a rare case of black thyroid accompanied by papillary carcinoma in a patient with an extended history of minocycline treatment. A 78-year-old man was referred to our outpatient clinic with swelling in his neck. He had been taking minocycline for the previous 2 years and 7 months to treat chronic perianal pyoderma. Neck ultrasonography and computed tomography demonstrated a 3.5 × 3.7 × 5.0-cm nodule in the left thyroid lobe, and fine-needle aspiration cytology identified it as a papillary carcinoma...
March 2016: Ear, Nose, & Throat Journal
https://www.readbyqxmd.com/read/26932945/postoperative-calcium-management-in-same-day-discharge-thyroid-and-parathyroid-surgery
#13
Kurt L Nelson, Andrew M Hinson, Bradley R Lawson, Derek Middleton, Donald L Bodenner, Brendan C Stack
OBJECTIVE: To describe a safe and effective postoperative prophylactic calcium regimen for same-day discharge thyroid and parathyroid surgery. STUDY DESIGN: Case series with chart review. SETTING: Tertiary referral academic institution. SUBJECTS AND METHODS: In total, 162 adult patients who underwent total thyroidectomy, completion thyroidectomy, unilateral parathyroidectomy, parathyroidectomy with bilateral neck exploration, or revision parathyroidectomy were identified preoperatively to be candidates for same-day discharge...
May 2016: Otolaryngology—Head and Neck Surgery
https://www.readbyqxmd.com/read/26762830/when-patients-call-their-surgeon-s-office-an-opportunity-to-improve-the-quality-of-surgical-care-and-prevent-readmissions
#14
Andrew Brekke, Dawn M Elfenbein, Tariq Madkhali, Sarah C Schaefer, Cindy Shumway, Herbert Chen, David F Schneider, Rebecca S Sippel, Courtney Balentine
BACKGROUND: Little is known about care coordination and communication with outpatient endocrine surgery patients. This study evaluated phone calls between office nurses and surgical patients to identify common issues addressed and their effect on patient care. METHODS: Qualitative analysis of preoperative and postoperative phone conversations between office nurses and endocrine surgery patients. RESULTS: We identified 183 thyroidectomy patients with 38% contacting our office before surgery and 54% within 30 days after surgery...
March 2016: American Journal of Surgery
https://www.readbyqxmd.com/read/26610774/outpatient-thyroidectomy-is-it-safe
#15
REVIEW
Courtney J Balentine, Rebecca S Sippel
Outpatient thyroid surgery is controversial because of concerns over life-threatening cervical hematoma. Despite this concern, outpatient thyroidectomy is becoming increasingly common, especially among high-volume endocrine surgeons. Multiple studies have now demonstrated that careful patient selection combined with surgeon experience can result in successful and safe surgery without a full inpatient admission. This article reviews the data on safety and outcomes for outpatient thyroidectomy and discusses several techniques used to minimize risk to patients...
January 2016: Surgical Oncology Clinics of North America
https://www.readbyqxmd.com/read/26471720/outpatient-thyroid-surgery-safety-of-an-optimized-protocol-in-more-than-1-000-patients
#16
Jamie M Segel, William S Duke, Jennifer R White, Jennifer L Waller, David J Terris
OBJECTIVES: Outpatient thyroid surgery is becoming increasingly common. The aim of this study was to clarify the principles for safe outpatient thyroid surgery and review our outcomes with the use of a protocol for outpatient thyroidectomy in a large patient cohort. STUDY DESIGN: A systematic analysis of a prospectively maintained database of outcomes of thyroidectomy in a tertiary endocrine surgery practice. SETTING: Academic medical center...
February 2016: Surgery
https://www.readbyqxmd.com/read/26331224/importance-of-ectopic-thyroid-tissue-detected-in-the-midline-of-the-neck-single-center-experience
#17
Ayten Oguz, Dilek Tuzun, Elif Ozdemir, Reyhan Ersoy, Aylin Kilic Yazgan, Bekir Cakir
OBJECTIVE: Ectopic thyroid tissue (ETT) is a rare abnormality of the thyroid gland and the true prevalence and importance is not known. The aim of this study was to evaluate ultrasonography (US) guided fine needle aspiration biposy (FNAB) results, sonographic features, and frequency of ETT detected in the midline of the neck. SUBJECTS AND METHODS: Five thousand five hundred and twenty outpatients who were referred to our thyroid clinic between September 2010 and April 2012 and underwent thyroid US, were retrospectively analyzed...
August 28, 2015: Archives of Endocrinology and Metabolism
https://www.readbyqxmd.com/read/26180765/malignancy-in-solitary-thyroid-nodule-a-clinicoradiopathological-evaluation
#18
Amitabh Jena, Rashmi Patnayak, Jaya Prakash, Alok Sachan, V Suresh, Amarchala Yadagiri Lakshmi
BACKGROUND: Thyroid nodules are common. They can be either benign or malignant. Solitary thyroid nodules (STN) have a high likelihood of being malignant. They should be characterized properly for optimum management. MATERIALS AND METHODS: In this study, we have analyzed our departmental data over a period of 5 years. All the patients who presented to the outpatient department with a clinically detected STN were included in the study group. Our approach was individualized...
July 2015: Indian Journal of Endocrinology and Metabolism
https://www.readbyqxmd.com/read/26082473/six-year-experience-with-endoscopic-thyroidectomy-outcomes-and-safety-profile
#19
William S Duke, Jennifer R White, Jennifer L Waller, David J Terris
BACKGROUND: Though minimally invasive video-assisted thyroidectomy (MIVAT) offers many advantages over traditional thyroid surgery, its adoption in North America has been limited. This study analyzes the largest series of MIVAT in North America to explore its safety. METHODS: A prospectively maintained database of all patients undergoing thyroid surgery by a single surgeon from 2003 to 2011 at an academic tertiary care medical center was evaluated. Demographic information, surgical and pathologic data, and postoperative outcomes were analyzed...
November 2015: Annals of Otology, Rhinology, and Laryngology
https://www.readbyqxmd.com/read/26061308/high-frequency-of-thyroid-disorders-in-patients-presenting-with-neutropenia-to-an-outpatient-hematology-clinic-strobe-compliant-article
#20
Eleni Magdalini A Kyritsi, Xanthi Yiakoumis, Gerasimos A Pangalis, Charalampos Pontikoglou, Katerina Pyrovolaki, Christina Kalpadakis, Irini Mavroudi, Helen Koutala, Semeli Mastrodemou, Theodoros P Vassilakopoulos, George Vaiopoulos, Evanthia Diamanti-Kandarakis, Helen A Papadaki, Maria K Angelopoulou
Granulopoiesis abnormalities have been described in association with thyroid disorders (TD). However, data regarding systematic evaluation of adult neutropenia and concurrent or prior TD are scarce. To investigate the frequency of TD among patients presenting with neutropenia, and the immunophenotypic and immunologic profile of neutropenic patients with concomitant thyroidopathy. Two hundred eighteen consecutive neutropenic patients were prospectively evaluated in our outpatient Hematology Clinic, with a detailed laboratory screen, including thyroid function tests, antineutrophil antibodies, blood lymphocytes immunophenotyping, and detection of T-cell clonality by PCR...
June 2015: Medicine (Baltimore)
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