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Updated: Aug 14, 2026
06:30
A Novel Contralateral Axillo-Bilateral-Breast Approach for Endoscopic Thyroid Surgery
Published on: July 28, 2026
Determining when patients with thyroid illnesses should be cleared for surgery
Anna Paul1, Anuka Alena Abraham, Tina George
1Department of General Medicine, Christian Medical College and Hospital, Vellore, Tamil Nadu, India.
Current Opinion in Endocrinology, Diabetes, and Obesity
|August 13, 2026
Summary
Thyroid dysfunction can delay surgery, but evidence for optimizing thyroid levels before procedures is limited. Recent findings suggest caution with overt hypothyroidism, while urgent surgeries may proceed with multidisciplinary planning.
Area of Science:
- Endocrinology
- Perioperative Medicine
- Surgical Risk Assessment
Background:
- Thyroid dysfunction frequently leads to surgical delays.
- Limited evidence exists on perioperative risks and biochemical optimization for thyroid disorders.
Purpose of the Study:
- Review recent literature on perioperative outcomes in hypothyroidism and hyperthyroidism.
- Focus on surgery delays, rapid optimization strategies, and current uncertainties.
Main Methods:
- Systematic review of observational studies and meta-analyses.
- Analysis of recent literature on perioperative outcomes and management strategies.
Main Results:
- Subclinical hypothyroidism linked to cardiovascular risks in cardiac surgery.
- Overt hypothyroidism associated with complications like impaired wound healing and prolonged ventilation.
- Evidence for optimizing hyperthyroid patients for non-thyroid surgery is sparse; rapid correction strategies show limited promise.
Conclusions:
- Management of thyroid dysfunction in surgery is largely consensus-based with limited evidence.
- Routine optimization advised for overt thyroid disease; urgent cases may proceed with planning.
- Future research needs prospective data on outcomes and rapid correction strategies.
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