surgical treatment of thyroid disease
thyroid gland It is another endocrine gland that is important to the body’s functioning system. Because it is a gland that helps produce hormones to stimulate the metabolic system. control the production of energy for the body speed up the breathing process sweating It also helps to enhance the body’s metabolic system. The thyroid gland can be affected by many types of conditions and disorders, such as hyperthyroidism. inflammatory thyroid disease thyroid cancer goiter
If the lesion is detected The doctor will have a treatment plan that is suitable for the patient’s body and the location of the thyroid gland. which if the abnormality has not yet reached a severe level I usually start treatment by taking medication first. But if taking medication and still unable to control hormones an enlarged thyroid or a condition in which the thyroid gland pathology is more severe unresponsive to medication or mineral ingestion The doctor will consider treating it by surgery.
indications for surgery
1. The result of the biopsy was found to be thyroid cancer.
2. The biopsy results revealed that abnormal cells were bordered. which can increase your chances of getting cancer
3. The biopsy results revealed that it was a good tumor. But the lump is larger, 2-4 cm or more, or there are many lumps. and have symptoms of pressing on nearby organs such as the esophagus, trachea, etc.
thyroid surgery
Currently, thyroid surgery techniques can be divided into 2 types as follows.
1. Open incision thyroid surgery It is a traditional standard surgery that has been used for a long time. The doctor will make an incision to open the wound in the middle of the patient’s neck. After that, the instrument will be used to treat or cut out the thyroid nodules. This technique can remove tumors of any size. But it may affect the confidence in life because there will be a scar in the middle of the neck.
2. Endoscopic thyroidectomy It is a new surgical technique that uses a small surgical camera as an aid in surgery. Which has the strength of being accurate and on the spot and the doctor does not need to cut the wound on the outside of the skin But can choose to cut open the wound in other areas, such as laparoscopic thyroidectomy It can be done in many ways, such as surgery through the armpit (Axillary approach), the chest (Chest approach) and the breast (Breast approach), etc. Such surgery Thyroidectomy can be done in both unilateral surgery (Lobectomy, Hemithyroidectomy) and surgical removal (Total thyroidectomy). It is necessary to remove the subcutaneous tissue from the surgical wound to the thyroid gland in the neck (Remote access), which may cause a lot of subcutaneous fascia after surgery. and may also cause a keloid scar around the surgical wound Some patients also
Oral Thyroid Surgery Transoral Endoscopic Thyroidectomy Vestibular Approach (TOETVA) It is a new technique of laparoscopic thyroid surgery. The patient will not have scars to be seen from the outside. There was only a small surgical incision about 2 cm. and 0.5 cm. on the lower lip mucosa. It can also help reduce inflammation of the tissue around the wound healing quickly. Both sides can be surgically removed at the same time. Including being able to clearly see the nerves that feed the vocal cords Makes surgery with this method give good treatment results. and is safe It is very popular nowadays. due to good surgical results No scars from surgery As a result, the number of patients around the world undergoing this method has increased dramatically in the past 8 years.
Preparation before thyroid surgery
If the doctor has determined that a surgical procedure should be used to treat the thyroid The doctor will also recommend preparations before the appointment for surgery. In which each patient may have different preparation instructions, but the main ones may be as follows.
1. Patients undergoing surgery must provide a medical history. history of underlying disease Currently taking medications
including vitamins Dietary supplements, herbal supplements, all kinds of health because there may be a need to refrain from taking the drug in advance before undergoing surgery Especially the fibrinolytic drugs above have an effect on blood clotting.
2. Patients must undergo a medical examination to check their fitness before surgery. The doctor will specify the items.
Necessary health check-ups for the patients themselves, such as an electrocardiogram X-ray examination of the lungs complete blood count, urinalysis
3. Abstain from food and water at least 6-8 hours before surgery
Exercise after thyroid surgery
1. Eat soft foods such as soup, congee, rice porridge during 2-3 days or 1 week after surgery
2. Take antibiotics for 1 week
3. Avoid coughing, sneezing, straining, exercising or heavy lifting for at least 1 week.
4. Start exercising around the mouth and neck 1 week after surgery.
current Thyroid surgery has brought in modern tools and technology to assist in the surgical treatment to be accurate. more efficient such as Harmonic energy device for laparoscopic vascular closure and biopsy (Harmonic energy device) that can effectively seal the blood vessel, stop bleeding and isolate the thyroid membrane and nearby muscles, use of fluorescence Medical Indocyanine green (ICG) fluorescence in combination with a surgical camera that can see color. ICG intravenous supply to the parathyroid glands can reduce injury and ischemia of the parathyroid glands during thyroid surgery better than ever. Reduce the likelihood of hypoparathyroidism after surgery and hypocalcemia after total thyroidectomy. , Using the Nerve Monitoring System, which is a surgical device to measure the nerves that feed the laryngeal nerve (Recurrent laryngeal nerve), can reduce injuries from both cut nerves and nerve bruises after surgery. Overall, from the aforementioned technologies, together with surgery performed by a surgeon who specializes in surgery. make good surgical results greatly reducing the chances of complications
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Ask for more information.
Department of Orthopedic Surgery, Paolo Kaset Hospital
Tel. 02 1500 900 ext. 5114
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