Endocrine Abstracts

Backgroud: Effective postoperative pain management with minimal opioid use is vital in robot-assisted transaxillary thyroidectomy (RATT), posing unique challenges in surgical flap-related pain control. Promising analgesic regional methods like the pectoral nerve II (PECS II) block are crucial for patients. To evaluate the efficacy of the PECS II block in reducing postoperative pain and opioid requirements and improving the quality of recovery in RATT.Met...

Objectives: Hashimoto’s thyroiditis (chronic autoimmune thyroiditis) is one of the most common causes of hypothyroidism globally. Patients frequently experience symptoms of hypothyroidism, for which the current mainstay of treatment is with thyroid hormone repletion with levothyroxine. Despite treatment, there remains a subset of patients who achieve a biochemical euthyroid status, yet experience persistent hypothyroid symptoms. For these patients, there is no clear treat...

Background: Post-thyroidectomy hypocalcemia is a common complication that results in adverse neurological and cardiac symptoms. The use of calcium and vitamin D has been proposed as a preoperative preventative strategy for this condition. This systematic review and meta-analysis aimed to assess whether preoperative administration of calcium and vitamin D prevents postoperative hypocalcemia.Methods: Computerized search in Medline, Embase, and CENTRAL data...

Objective: Scarless thyroid and parathyroid surgery have been explored for many years but previous surgical interventions have not been widely adopted. Transoral endoscopic thyroidectomy vestibular approach (TOETVA) is utilizing a natural orifice to manipulate the thyroid, resulting in improved cosmetic outcomes, similar operative time to conventional approach, shorter recovery, and smoother post-operative course. Herein, we aim to present the enhanced comprehensive framework ...

Objectives: We aimed to evaluate the impact on postoperative voice outcome according to the degree of thyroidectomy skin flap.Methods: We randomly enrolled the patients underwent thyroidectomy into conventional thyroidectomy group (group 1) or minimally skin elevated thyroidectomy group (group 2). Skin flap was elevated to thyroid notch superiorly in group 1 and to superior border of cricoid cartilage superiorly in group 2. Inferior border of skin flap w...

Introduction: Thyroidectomy is one of the most common surgerys worldwide. Although a safe procedure, postoperative hematoma is a life threatening complication that requires emergent surgery due to airway compromise. A surgeon must be able to recognize the signs and act accordingly.Objective: Our goal is to evaluate the risk factors for post-thyroidectomy hematoma requiring emergent reoperation, the symptoms, the source of the bleeding and possible compli...

Objective: To find out the safety and feasibility of Thyroid surgery in a selected group of patients under local anesthesia. The aim of the study was to share our experience in case of heme and total thyroidectomy in ENT foundation hospital and different clinics of Dhaka, Bangladesh.Methods: All the patient was admitted to the hospital with clinically significant goiter, selected for surgical treatment. 2% xylocaine with adrenaline was used for infiltrat...

Backgound: Constant developments in minimally invasive surgery are being made with thyroid surgery being no exception. Robotic thyroidectomy by transaxillary approach (RATS) is considered a safe alternative for selected patients with benign disease or low risk thyroid cancer.Aim: We aim to present the case of the first Robotic Transaxillary Thyroidectomy performed in a public Portuguese Hospital, discuss its advantages and disadvantages and the challenge...

Purpose: Preoperative iodine therapy due to toxic nodular goiter (TNG) is discouraged as iodine may cause an aggravation of hyperthyroidism. We aimed to examine the effects of a short course of Lugol’s solution on thyroid hormones and quality of life in TNG patients.Methods: 20 patients with TNG and subclinical to mild hyperthyroidism (free T4 <30 pmol/l) without complicating illness were included in this pre-post intervention study. All partici...

Aim: For the surgical treatment of Graves’ Disease (GD), total/near total thyroidectomy is usually preferred over subtotal thyroidectomy due to recurrence risk being low. But in some institutions, subtotal thyroidectomy is preferred due to lower complication rates and for sustaining euthyroidism without the need for replacement. The aim of this study is to analyze the extent of thyroidectomy and its effect on recurrence and complications rates; and in the patients going u...