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Same day thyroidectomy

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https://www.readbyqxmd.com/read/28861367/safety-of-same-day-thyroidectomy-meta-analysis-and-systematic-review
#1
Helmi Khadra, Salah Mohamed, Adam Hauch, John Carter, Tian Hu, Emad Kandil
BACKGROUND: Performance of thyroid surgery as a same day surgery procedure has been a controversial topic. This study aimed to compare the safety and efficacy of outpatient thyroid surgery with inpatient thyroid surgery by meta-analysis of current literature. METHODS: Articles were identified from the following keyword searches: outpatient thyroidectomy/thyroid surgery, same day thyroidectomy/thyroid surgery. Outcomes included perioperative complications including recurrent laryngeal nerve (RLN) injury, hypocalcemia, and readmissions...
August 2017: Gland Surgery
https://www.readbyqxmd.com/read/28842998/postoperative-ipth-compared-with-ipth-gradient-as-predictors-of-post-thyroidectomy-hypocalcemia
#2
Mai G Al Khadem, Eleni M Rettig, Vaninder K Dhillon, Jonathon O Russell, Ralph P Tufano
OBJECTIVES/HYPOTHESIS: Predicting patients' risk for hypocalcemia after thyroidectomy may allow for same-day discharge. This study was designed to compare postoperative intact parathyroid hormone (IPTH) alone with percentage change in IPTH (IPTH gradient) in predicting post-thyroidectomy hypocalcemia. STUDY DESIGN: Retrospective cohort study. METHODS: Patients undergoing total thyroidectomy by the senior author from May 2015 to May 2016 were included...
August 26, 2017: Laryngoscope
https://www.readbyqxmd.com/read/28750022/determinants-of-operative-time-in-thyroid-surgery-a-prospective-multicenter-study-of-3454-thyroidectomies
#3
Arnaud Patoir, Cécile Payet, Jean-Louis Peix, Cyrille Colin, Léa Pascal, Jean-Louis Kraimps, Fabrice Menegaux, François Pattou, Frédéric Sebag, Sandrine Touzet, Stéphanie Bourdy, Jean-Christophe Lifante, Antoine Duclos
OBJECTIVE: To identify the determinants of operative time for thyroidectomy and quantify the relative influence of preoperative and intra-operative factors. BACKGROUND: Anticipation of operative time is key to avoid both waste of hospital resources and dissatisfaction of the surgical staff. Having an accurate and anticipated planning would allow a rationalized operating room use and may improve patient flow and staffing level. METHODS: We conducted a prospective, cross-sectional study between April 2008 and December 2009...
2017: PloS One
https://www.readbyqxmd.com/read/28738947/outpatient-total-thyroidectomy-is-safe-for-moderate-volume-surgeons
#4
Jonathan Black, Travis Cotton, Jen Jen Yeh
Traditionally, total thyroidectomy (TT) was an inpatient procedure, but recent trends indicate that patients are often discharged on the day of surgery. This has been proven safe for high-volume surgeons but has not been studied for low (<10 TT per year) and moderate volume surgeons (<24 TT per year). Retrospective review was performed for 414 total thyroidectomies between 2005 and 2013. Emergency department visits and readmissions within 30 days of surgery were captured, but were considered the same for the purpose of this analysis...
July 1, 2017: American Surgeon
https://www.readbyqxmd.com/read/28474427/robotic-thyroidectomy-and-parathyroidectomy-an-initial-experience-with-retroauricular-approach
#5
Mohammed Alshehri, Hossam Eldin Mohamed, Thomas Moulthrop, Emad Kandil
BACKGROUND: New approaches for robotic-assisted thyroidectomy were recently described. The purpose of this study was to present the report of our initial experience using a retroauricular approach for thyroid and parathyroid surgeries. METHODS: This is a prospective study that was conducted under institutional review board approval and all surgeries were performed by a single surgeon at a North American academic institution. Some patients underwent an additional concomitant neck lift surgery in addition to the thyroid surgery...
August 2017: Head & Neck
https://www.readbyqxmd.com/read/28418509/association-of-preoperative-calcium-and-calcitriol-therapy-with-postoperative-hypocalcemia-after-total-thyroidectomy
#6
Anne K Maxwell, David C Shonka, Derek J Robinson, Paul A Levine
Importance: Hypocalcemia is the most common complication after total thyroidectomy and can result in prolonged hospital admissions and increased hospital charges. Objective: To determine the effectiveness of preoperative calcium and calcitriol supplementation in reducing hypocalcemia following total thyroidectomy. Design, Setting, and Participants: A retrospective cohort study was conducted at a tertiary care center in 65 patients undergoing total thyroidectomy by a single surgeon...
July 1, 2017: JAMA Otolaryngology—Head & Neck Surgery
https://www.readbyqxmd.com/read/28350971/early-discharge-after-total-thyroidectomy-a-retrospective-feasibility-study
#7
F Tartaglia, A Giuliani, S Sorrenti, L Tromba, S Carbotta, A Maturo, G Carbotta, L De Anna, R Merola, G Livadoti, F Pelle, S Ulisse
AIM: The continued hospitalization after total thyroidectomy is often due to the onset of hypocalcemic complications more than 24 hours after surgery. So it would be important to predict which patients will not develop the hypocalcemic complication to discharge them early. This was the aim of our study. PATIENTS AND METHODS: Our retrospective study was conducted on 327 consecutive thyroidectomized patients, operated on for benign and malignant diseases. We evaluated the values of preoperative serum calcium levels (Cal0) and of the first postoperative day (Cal1) and two new variables were calculated (dCal and dCaln)...
November 2016: Il Giornale di Chirurgia
https://www.readbyqxmd.com/read/28315910/effect-of-selenium-supplementation-for-protection-of-salivary-glands-from-iodine-131-radiation-damage-in-patients-with-differentiated-thyroid-cancer
#8
RANDOMIZED CONTROLLED TRIAL
Haiyoung Son, Sang Mi Lee, Ra Gyoung Yoon, Hakmin Lee, Ilkyun Lee, Soon Kim, Woong Youn Chung, Jeong Won Lee
OBJECTIVE: In the current study, we examined whether selenium supplementation during iodine-131 ((131)I) treatment had a radio-protective effect on salivary glands. SUBJECTS AND METHODS: Sixteen patients with differentiated thyroid cancer were prospectively enrolled in the study. Patients after total thyroidectomy, before (131)I treatment, were divided into two groups; 8 patients in the selenium group and 8 patients in the control group. Patients in the selenium group received 300νg of selenium orally for 10 days, from 3 days before to 6 days after (131)I treatment...
January 2017: Hellenic Journal of Nuclear Medicine
https://www.readbyqxmd.com/read/28160140/optimizing-outpatient-pain-management-after-thyroid-and-parathyroid-surgery-a-two-institution-experience
#9
Irene Lou, Todd B Chennell, Sarah C Schaefer, Herbert Chen, Rebecca S Sippel, Courtney Balentine, David F Schneider, Jacob Moalem
BACKGROUND: Thyroidectomy and parathyroidectomy are the most commonly performed endocrine operations, and are increasingly being completed on a same-day basis; however, few data exist regarding the outpatient postoperative pain requirement of these patients. We aimed to describe the outpatient narcotic medication needs for patients undergoing thyroid and parathyroid surgery, and to identify predictors of higher requirement. METHOD: We examined patients undergoing thyroid and parathyroid surgery at two large academic institutions from 1 January-30 May 2014...
July 2017: Annals of Surgical Oncology
https://www.readbyqxmd.com/read/28105713/whole-remnant-and-maximum-voxel-spect-ct-dosimetry-in-131-i-nai-treatments-of-differentiated-thyroid-cancer
#10
COMPARATIVE STUDY
Pablo Mínguez, Glenn Flux, José Genollá, Alejandro Delgado, Emilia Rodeño, Katarina Sjögreen Gleisner
PURPOSE: To investigate the possible differences between SPECT/CT based whole-remnant and maximum-voxel dosimetry in patients receiving radio-iodine ablation treatment of differentiated thyroid cancer (DTC). METHODS: Eighteen DTC patients were administered 1.11 GBq of (131) I-NaI after near-total thyroidectomy and rhTSH stimulation. Two patients had two remnants, so in total dosimetry was performed for 20 sites. Three SPECT/CT scans were performed for each patient at 1, 2, and 3-7 days after administration...
October 2016: Medical Physics
https://www.readbyqxmd.com/read/27896411/the-effects-of-intravenous-lidocaine-infusions-on-the-quality-of-recovery-and-chronic-pain-after-robotic-thyroidectomy-a-randomized-double-blinded-controlled-study
#11
RANDOMIZED CONTROLLED TRIAL
Kwan Woong Choi, Kee-Hyun Nam, Jeong-Rim Lee, Woong Youn Chung, Sang-Wook Kang, Young Eun Joe, Jae Hoon Lee
BACKGROUND: The effect of the systemic lidocaine on postoperative recovery has not been definitively investigated despite its analgesic efficacy after surgery. The aim of this randomized, double-blinded, controlled study was to evaluate the effect of intravenously administered lidocaine on the quality of recovery and on acute and chronic postoperative pain after robot-assisted thyroidectomy. METHODS: Ninety patients who were undergoing robotic thyroidectomy were randomly assigned to the lidocaine or the control groups...
May 2017: World Journal of Surgery
https://www.readbyqxmd.com/read/27875655/postoperative-pain-evaluation-after-robotic-transaxillary-thyroidectomy-versus-conventional-thyroidectomy-a-prospective-study
#12
COMPARATIVE STUDY
Lorenzo Fregoli, Gabriele Materazzi, Mario Miccoli, Piermarco Papini, Gianmarco Guarino, Hurn-Sheng Wu, Paolo Miccoli
BACKGROUND: Robot-assisted transaxillary thyroidectomy (RATT) is an emerging technique with excellent cosmetic results but is supposedly more invasive and painful than conventional thyroidectomy (CT). This prospective study compared pain after RATT and CT. METHODS: Inclusion criteria were a nodule <5 cm and volume <30 mL. Patients received the same analgesia. Pain was evaluated by visual analog scale (VAS) in the recovery room (VASrr), on the first postoperative day at 8:00 a...
February 2017: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/27782699/whole-remnant-and-maximum-voxel-spect-ct-dosimetry-in-131-i-nai-treatments-of-differentiated-thyroid-cancer
#13
Pablo Mínguez, Glenn Flux, José Genollá, Alejandro Delgado, Emilia Rodeño, Katarina Sjögreen Gleisner
PURPOSE: To investigate the possible differences between SPECT/CT based whole-remnant and maximum-voxel dosimetry in patients receiving radio-iodine ablation treatment of differentiated thyroid cancer (DTC). METHODS: Eighteen DTC patients were administered 1.11 GBq of (131)I-NaI after near-total thyroidectomy and rhTSH stimulation. Two patients had two remnants, so in total dosimetry was performed for 20 sites. Three SPECT/CT scans were performed for each patient at 1, 2, and 3-7 days after administration...
October 2016: Medical Physics
https://www.readbyqxmd.com/read/27551897/patterns-timing-and-consequences-of-post-thyroidectomy-haemorrhage
#14
M S Farooq, R Nouraei, H Kaddour, M Saharay
INTRODUCTION Post-thyroidectomy bleeding is a low frequency but potentially life threatening event that is very difficult to predict. Given the increasing drive towards thyroidectomy with same day discharge, this study was conducted with the aim of identifying patterns, timing and consequences of post-thyroidectomy bleeding to assess the feasibility of day-case thyroidectomy. METHODS All patients who underwent a thyroidectomy between 2008 and 2015 at our institution were identified. Patterns, timing and consequences in all those who developed post-thyroidectomy bleeding were studied...
January 2017: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/27530498/prospective-evaluation-of-intra-operative-quick-parathyroid-hormone-assay-as-an-early-predictor-of-post-thyroidectomy-hypocalcaemia
#15
Ashwini C Reddy, Gyan Chand, M Sabaretnam, Anjali Mishra, Gaurav Agarwal, Amit Agarwal, A K Verma, S K Mishra
BACKGROUND: Hypocalcaemia following total thyroidectomy is a major contributing factor in delayed hospital discharge and dissuading surgeons from day care thyroidectomy. We prospectively evaluated the utility of Intra-operative serum quick parathyroid hormone level measurement twenty minutes after total thyroidectomy in predicting post-operative hypocalcemia. MATERIAL AND METHODS: Prospective longitudinal study which included patients undergoing total thyroidectomy for benign or malignant thyroid disorders at SGPGIMS, Lucknow, India from November 2013 to February 2015...
October 2016: International Journal of Surgery
https://www.readbyqxmd.com/read/27379388/clinical-efficacy-of-intravenous-lidocaine-for-thyroidectomy-a-prospective-randomized-double-blind-placebo-controlled-trial
#16
Geun Joo Choi, Hyun Kang, Eun Jin Ahn, Jong In Oh, Chong Wha Baek, Yong Hun Jung, Jin Yun Kim
BACKGROUND: Systemic lidocaine has analgesic and anti-inflammatory effects. The purpose of this prospective, randomized, double-blind study was to evaluate the effects of intravenous lidocaine on pain following thyroidectomy. METHODS: Fifty-eight adult patients scheduled for total thyroidectomy were randomly allocated to receive a 1.5 mg/kg lidocaine bolus followed by a 2 mg/kg/h infusion during surgery, or the same volume of normal saline (control). After thyroidectomy, we evaluated postoperative pain, nausea, fentanyl consumption, frequency of pushing the button (FPB) for patient-controlled analgesia (PCA), High-sensitivity C-reactive protein (hs-CRP) in serum, and patient satisfaction scores regarding the recovery process...
December 2016: World Journal of Surgery
https://www.readbyqxmd.com/read/27334930/surgeon-volume-in-thyroid-surgery-surgical-efficiency-outcomes-and-utilization
#17
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...
November 2016: Laryngoscope
https://www.readbyqxmd.com/read/27334516/changes-in-oral-vowel-sounds-and-hyoid-bone-movement-after-thyroidectomy
#18
Ki Hwan Hong, Woo Seok Yang, Min Ju Park, Jong Seok Oh, Baek Hwa Han
OBJECTIVES: Voice and speech alterations after total thyroidectomy may be associated with other extralaryngeal factors, such as neck muscle dysfunction and neck scar contracture. We evaluated the acoustic characteristics of oral vowel sounds and changes in hyoid bone movement before and after thyroidectomy. METHODS: Twenty-nine female patients undergoing total thyroidectomy were included. Fundamental frequencies (Fo), formants and vowel space areas were evaluated before surgery and 7 days and 3 months after surgery to acoustically analyze the oral vowel sounds...
June 2017: Clinical and Experimental Otorhinolaryngology
https://www.readbyqxmd.com/read/27006296/safety-of-outpatient-thyroid-and-parathyroid-surgery-a-propensity-score-matched-study
#19
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/26991229/a-limited-thoracocervical-approach-for-accessing-the-anterior-mediastinum-in-retrosternal-goiters-surgical-technique-and-implications-for-the-management-of-head-and-neck-emergencies
#20
Petros V Vlastarakos, Aaron Trinidade, Marie-Claire Jaberoo, George Mochloulis
In this article we describe the surgical management of retrosternal goiters via a limited thoracocervical approach, and we explore how the respective surgical know-how can be used in the management of the carotid blowout syndrome. Four cases involving patients who had undergone thyroidectomy via a limited thoracocervical approach are retrospectively reviewed. An acute blowout of the innominate artery managed with the same principal surgical technique is also reviewed. Three patients had a total thyroidectomy and one had a hemithyroidectomy...
March 2016: Ear, Nose, & Throat Journal
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