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Preoperative preparation for Graves' disease.

Tianfeng Xu1, Xun Zheng1, Tao Wei1

  • 1Division of Thyroid Surgery, Department of General Surgery, West China Hospital, Sichuan University, Chengdu, China.

Frontiers in Endocrinology
|September 8, 2023
PubMed
Summary

Thyroidectomy is a key treatment for Graves' disease. This review summarizes preoperative preparation methods to reduce complications, highlighting the need for standardized approaches and further research.

Keywords:
Graves’ diseasehyperthyroidismpreoperative preparationthyroidectomytreatment

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Area of Science:

  • Endocrinology
  • Surgical Oncology
  • Internal Medicine

Background:

  • Graves' disease often necessitates thyroidectomy when other treatments fail or cause side effects.
  • Perioperative complications like hemorrhage and thyroid storms are significant concerns during thyroidectomy for Graves' disease.
  • Current preoperative preparation strategies aim to mitigate these risks.

Purpose of the Study:

  • To review and summarize existing preoperative preparation methods for thyroidectomy in Graves' disease patients.
  • To highlight the latest developments in preoperative management.
  • To identify the need for standardized protocols and further research.

Main Methods:

  • A comprehensive review of existing literature on preoperative preparation for thyroidectomy in Graves' disease.
  • Focus on studies evaluating the efficacy and safety of different preparation regimens.
  • Analysis of strategies to minimize perioperative complications.

Main Results:

  • Various preoperative preparation schemes have demonstrated effectiveness in ensuring smooth surgical operations.
  • A lack of a unified, standardized approach to preoperative preparation persists.
  • Existing methods contribute to reducing the incidence of severe complications.

Conclusions:

  • Preoperative preparation is crucial for successful thyroidectomy in Graves' disease.
  • Further prospective studies are needed to establish personalized preoperative regimens.
  • Identifying specific patient populations who benefit most from certain preparations is essential.