World Journal of Endocrine Surgery

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2014 | September-December | Volume 6 | Issue 3

EDITORIAL

PS Venkatesh Rao MBBS (Vellore), MS (Vellore) DNB, FRCS (Glasg), FICS, FMAS, FAES

Why have guidelines on best practices in endocrine surgical care, education, training and research?

[Year:2014] [Month:September-December] [Volume:6] [Number:3] [Pages:1] [Pages No:0 - 0]

PDF  |  DOI: 10.5005/wjoes-6-3-v  |  Open Access |  How to cite  | 

RESEARCH ARTICLE

Ian R Gough, Oh Thomas Young-Chul

Safety and Cost Efficiency in Thyroid Surgery

[Year:2014] [Month:September-December] [Volume:6] [Number:3] [Pages:6] [Pages No:101 - 106]

PDF  |  DOI: 10.5005/jp-journals-10002-1147  |  Open Access |  How to cite  | 

Abstract

Aim

Recent developments in technology aim to reduce operative time and improve safety, albeit at significant cost. Thyroidectomy is a common procedure worldwide and an assessment of costefficiency is important.

Materials and methods

An audit of prospectively collected data on all thyroidectomies performed by a single endocrine surgeon at two private hospitals from 2009 to 2013. The technique was a conventional open dissection emphasizing capsular dissection with ligature and ligaclip and without intraoperative nerve monitoring (IONM). The operative duration was compared to those reported in literature with the use of vessel sealing devices (VSDs). Estimated time-dependent operating theater cost was used to determine the amount of time saving required by VSDs to match the costefficiency of our technique.

Results

There were 503 thyroidectomies with the expected mix of pathologies. There were zero permanent recurrent laryngeal nerve injuries (0.5% temporary, 746 nerves at risk), 0.6% permanent hypoparathyroidism (19.5% temporary, 308 completion and total thyroidectomies) and 0.6% hematoma. These outcomes compare favorably with published best practice. The median skin to skin operating time was 59 minutes for total and 35 minutes for hemithyroidectomies which are shorter than those reported with VSDs. The minimum time reduction required by VSDs to match the costefficiency of our technique was 27 minutes for hemithyroidectomy and 15 minutes for total thyroidectomy, which are longer than those reported in the literature.

Conclusion

Despite the current popularity of VSDs and the promotion of IONM, their routine use may not be justified. Technique is more important than technology.

How to cite this article

Young-Chul OT, Gough I. Safety and Cost Efficiency in Thyroid Surgery. World J Endoc Surg 2014;6(3):101-106.

REVIEW ARTICLE

Brajesh B Gupta, Sanjay S Changole, Vishal Nandagawali, Chandratej Chandrkant Kadam

Bilateral Pheochromocytoma with Hypertrophic Obstructive Cardiomyopathy: A Rare Case

[Year:2014] [Month:September-December] [Volume:6] [Number:3] [Pages:3] [Pages No:107 - 109]

PDF  |  DOI: 10.5005/jp-journals-10002-1148  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Gupta BB, Changole SS, Nandagawali V, Kadam CC. Bilateral Pheochromocytoma with Hypertrophic Obstructive Cardiomyopathy: A Rare Case. World J Endoc Surg 2014;6(3):107-109.

REVIEW ARTICLE

R Fernando, Anuradha Rajapaksha, Narada Ranasinghe, Duminda Gunawardana

Embryological Remnants of the Thyroid Gland and their Significance in Thyroidectomy

[Year:2014] [Month:September-December] [Volume:6] [Number:3] [Pages:3] [Pages No:110 - 112]

PDF  |  DOI: 10.5005/jp-journals-10002-1149  |  Open Access |  How to cite  | 

Abstract

Conclusion

It is important that all these remnants are objectively looked for and removed during surgery in order to prevent recurrences.

How to cite this article

Fernando R, Rajapaksha A, Ranasinghe N, Gunawardana D. Embryological Remnants of the Thyroid Gland and their Significance in Thyroidectomy. World J Endoc Surg 2014;6(3):110-112.

CASE REPORT

Bhargav PRK

Unusual Presentation of Pheochromocytoma with Polyphagia

[Year:2014] [Month:September-December] [Volume:6] [Number:3] [Pages:2] [Pages No:113 - 114]

PDF  |  DOI: 10.5005/jp-journals-10002-1150  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Bhargav PRK. Unusual presentation of Pheochromocytoma with Polyphagia. World J Endoc Surg 2014;6(3):113-114.

CASE REPORT

Inian Samarasam, Birla Roy Gnanamuthu, Siddhartha Chakravarthy Nalukurthi, Johnraj Kishore, Mj Paul

Chylothorax Following Thyroid Surgery: A Report of two Cases and Review of Management Strategies

[Year:2014] [Month:September-December] [Volume:6] [Number:3] [Pages:4] [Pages No:115 - 118]

PDF  |  DOI: 10.5005/jp-journals-10002-1151  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Nalukurthi SC, Kishore J, Samarasam I, Gnanamuthu BR, Paul Mj. Chylothorax Following Thyroid Surgery: A Report of two Cases and Review of Management Strategies. World J Endoc Surg 2014;6(3):115-118.

CASE REPORT

Nadeesha Jeewan Nawarathna, NR Kumarasinghe, D Chandrasekara, P Rathnayake, BMRS Balasooriya, RJK Senevirathne

Thoracic Wall Metastasis from an Occult Thyroid Follicular Carcinoma

[Year:2014] [Month:September-December] [Volume:6] [Number:3] [Pages:4] [Pages No:119 - 122]

PDF  |  DOI: 10.5005/jp-journals-10002-1152  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Nawarathna NJ, Kumarasinghe NR, Chandrasekara D, Rathnayake P, Balasooriya BMRS, Senevirathne RJK. Thoracic Wall Metastasis from an Occult Thyroid Follicular Carcinoma. World J Endoc Surg 2014;6(3):119-122.

RESEARCH ARTICLE

Roma Pradhan, Navneet Tripati, Naval Bansal

Journal Clubs in Endocrine Surgery

[Year:2014] [Month:September-December] [Volume:6] [Number:3] [Pages:4] [Pages No:123 - 126]

PDF  |  DOI: 10.5005/jp-journals-10002-1153  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Sabaretnam M, Tripati N, Bansal N, Pradhan R, Agarwal A. Journal Clubs in Endocrine Surgery. World J Endoc Surg 2014;6(3):123-126.

RESEARCH ARTICLE

Shantanu Pande, Bipin Chandra, Gauranga Majumdar, Surendra Agarwal

Cardiac Myxoma in a case of Carney Complex

[Year:2014] [Month:September-December] [Volume:6] [Number:3] [Pages:2] [Pages No:127 - 128]

PDF  |  DOI: 10.5005/jp-journals-10002-1154  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Majumdar G, Agarwal S, Pande s, Chandra B, Tewari P. Cardiac Myxoma in a case of Carney Complex. World J Endoc Surg 2014;6(3):127-128.

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