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Related Concept Videos

Hyperthyroidism I: Introduction01:25

Hyperthyroidism I: Introduction

Hyperthyroidism is a type of thyrotoxicosis characterized by the thyroid gland's overproduction of the thyroid hormones triiodothyronine (T3) and thyroxine (T4). This hormone excess increases the basal metabolic rate and enhances sensitivity to catecholamines.DiagnosisDiagnosis is based on clinical features and biochemical testing. It typically shows suppressed thyroid-stimulating hormone (TSH) levels below 0.4 mIU/L, with elevated free T3 and/or T4. Additional tests, including thyroid...
Endoscopic Studies I: Bronchoscopy and Thoracoscopy01:30

Endoscopic Studies I: Bronchoscopy and Thoracoscopy

Endoscopy is a non-surgical medical technique used to examine a person's internal organs and vessels. This lesson will focus on two types of endoscopic studies: bronchoscopy and thoracoscopy.
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due to...
Hyperthyroidism II: Pathophysiology01:27

Hyperthyroidism II: Pathophysiology

Hyperthyroidism is a hypermetabolic state caused by elevated levels of thyroid hormones, triiodothyronine (T3) and thyroxine (T4). It results from dysregulation at the thyroid, pituitary, or immune system level and affects multiple organ systems.PathophysiologyThe most common cause of hyperthyroidism is Graves’ disease, an autoimmune disorder in which antibodies, specifically thyroid-stimulating antibodies (TSAb), a subtype of TSH receptor antibodies (TRAb), bind to and activate TSH receptors...
Graves' Disease I: Introduction01:28

Graves' Disease I: Introduction

Graves' disease is an autoimmune disorder that causes hyperthyroidism, or overactivity of the thyroid gland. It results from autoantibodies called thyroid-stimulating immunoglobulins (TSIs), which bind to thyroid-stimulating hormone (TSH) receptors, leading to overstimulation of hormone production and a hypermetabolic state.EtiologyAlthough considered idiopathic, Graves’ disease has well-established contributing factors. There is a strong genetic component, with increased prevalence in...
Graves Disease II: Pathophysiology01:24

Graves Disease II: Pathophysiology

Graves’ disease is an autoimmune disorder characterized by the production of thyroid-stimulating immunoglobulins (TSI) that activate TSH receptors, leading to excessive synthesis and release of thyroid hormones (T3 and T4) and resulting in hyperthyroidism.Among all causes of hyperthyroidism, Graves’ disease is the most common and can happen at any age, though it is more frequent in women. It produces a hypermetabolic state with features such as weight loss, tachycardia, tremor, and heat...

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Minimal Invasive Resection of Large Retrosternal Thyroid Goiter
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Published on: September 20, 2024

Short-stay hospitalisation for benign thyroid surgery: a prospective study.

Fausto Fama'1, Cecile Linard, Rosalia Patti

  • 1Department of Human Pathology, University Hospital of Messina, Via Consolare Valeria, 1, 98125, Messina, Italy. famafausto@yahoo.it

European Archives of Oto-Rhino-Laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery
|June 14, 2012
PubMed
Summary

Short-stay hospitalisation for benign thyroid surgery is safe and cost-effective. Most patients were discharged within 24 hours, with low complication rates for total thyroidectomy.

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Gasless Endoscopic Thyroidectomy via the Trans-Axillary Approach
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Minimal Invasive Resection of Large Retrosternal Thyroid Goiter
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Gasless Endoscopic Thyroidectomy via the Trans-Axillary Approach
05:10

Gasless Endoscopic Thyroidectomy via the Trans-Axillary Approach

Published on: September 15, 2023

Area of Science:

  • Endocrinology
  • Surgical Oncology
  • General Surgery

Background:

  • Benign thyroid conditions, such as multi-nodular goitres, often require surgical intervention.
  • Total thyroidectomy is a common surgical procedure for these conditions.
  • Optimizing hospital stay duration is crucial for patient recovery and healthcare economics.

Purpose of the Study:

  • To evaluate the feasibility and outcomes of a short-stay hospitalisation protocol for patients undergoing total thyroidectomy for benign thyroid disease.
  • To assess the post-operative complication rates and duration of hospitalisation in a cohort of 200 patients.

Main Methods:

  • Prospective study of 200 patients undergoing total thyroidectomy for bilateral multi-nodular goitres.
  • Implementation of a short-stay regimen with a target discharge within 24 hours post-operation.
  • Systematic monitoring of post-operative outcomes, complication rates, and length of hospital stay.

Main Results:

  • A short-stay discharge within 24 hours was achieved in 92.5% of patients.
  • Delayed discharges (beyond 24 hours) were primarily due to hypocalcaemia (5.5%) and haematoma (1.5%).
  • Low rates of transient (36%) and permanent (3%) complications were observed, with no mortality or need for tracheostomies.

Conclusions:

  • Short-stay hospitalisation is a safe and effective management strategy for benign thyroid surgery.
  • This approach offers significant cost-saving benefits for healthcare systems.
  • Comprehensive patient counselling and emergency support are vital for successful short-stay protocols.