Endocrine Abstracts

The results of Surgeon-Performed Ultrasound before and after operations have evaluated at the 207 patients with pathology of the thyroid gland. Comparative assessment made between ultrasound at out-patient phase and Surgeon-Performed by ultrasound. Ultrasound at the outpatient stage in the screening mode does not provide a sufficient level of diagnostics. Causes of errors at this stage are a short time of the inspection, insufficient expertise, wrong interpretation of the image ignorance of the standards of diagnosis, lack of the resolution of the instrument, the subjectivity of assessment, depending on the qualification and integrity of the doctor. It is established that regardless of the nature of thyroid diseases carried out by the preoperative Surgeon-Performed Ultrasound has better results in comparison with the outpatient stage: fewer differences with the real picture when assessing the volume of the organ, the size, number and localization of nodules. Accounting surgeon features of the structure and location of the thyroid gland gives him the opportunity of planning the operation with minimal trauma to the patient. Conducted Surgeon-Performed Ultrasound of the organs of the neck in addition to the standard Protocol included inspection of the larynx. Ultrasonography of the larynx (for her vizualisation) before operation allowed to take into account the preconditions for the development of complications and to identify already existing pathological changes. Surgeon-performed ultrasound examination in the early postoperative period can visually assess the dynamics of wound process, to identify complications of the soft tissues and eliminate them. Ultrasound allows to objectively assess the condition of the abandoned tissue of the thyroid gland in organ-saving operations. Surgeon-Performed Ultrasound of the larynx in the postoperative period allows the high percentage of reliability to detect in the early stages of paresis of the larynx.