STRATEGY AND ORGANIZATION OF SURGICAL CARE FOR PATIENTS WITH THYROID DISEASES IN PRIVATE MEDICINE
DOI: https://doi.org/10.29296/25877305-2021-02-10
Issue:
2
Year:
2021
The paper gives the authors’ own experience in organizing surgical care for patients with thyroid
diseases in a private medical clinic. The main focus is on the necessary conditions, equipment, features of
the diagnostic process, and surgical procedures. The paper presents the current international cytological
classification that defines the probability of thyroid malignancy and optimal treatment policies for each
individual patient. The authors consider visual control of the course of the recurrent nerves and the
localization of the parathyroid glands to be the principal and important point of any thyroid operation. The
paper describes the operational principle of modern operating equipment: an ultrasonic scalpel and an
intraoperative nerve monitoring device for recurrent laryngeal nerves. It lists the main provisions of
surgical care for patients with thyroid diseases under the conditions of private medicine.
Keywords:
surgery
endocrinology
private medicine
thyroid
endocrine surgery
References:
- Salybaev A.D. Optimizatsija okazanija hirurgicheskoj pomoschi v uslovijah chastnoj mnogoprofil'noj hirurgicheskoj kliniki. Avtoref. diss. … kand. med. nauk. Bishkek, 2005; 19 s. [Salybaev A.D. Optimization of surgical care in a private multidisciplinary surgical clinic. Avtoref. diss. … kand. med. nauk.. Bishkek, 2005; p. 19 (in Russ.)].
- Bel'tsevich D.G., Vanushko V.E., Mel'nichenko G.A. i dr. Klinicheskie rekomendatsii Rossijskoj Assotsiatsii Endokrinologov po diagnostike i lecheniju (mnogo)uzlovogo zoba u vzroslyh. Endokrinnaja hirurgija. 2016; 10 (1): 5–12 [Beltsevich D.G., Vanushko V.E., Melnichenko G.A. et al. Clinical recommendations of the Russian Association of Endocrinologists for the diagnosis and treatment of (multi)nodular goiter in adults. Endocrine Surgery. 2016; 10 (1): 5–12 (in Russ.)]. DOI: 10.14341/serg201615-12
- Troshina E.A., Sviridenko N.Ju., Vanushko V.E. i dr. Federal'nye klinicheskie rekomendatsii po diagnostike i lecheniju toksicheskogo zoba. Problemy endokrinologii. 2014; 60 (6): 67–77 [Troshina E.A., Sviridenko N.Yu., Vanushko V.E. et al. Federal clinical recommendations for the diagnosis and treatment of toxic goiter. Problems of endocrinology. 2014; 60 (6): 67–77 (in Russ.)]. DOI: 10.14341/probl201460667-77
- Gharib H., Papini E., Paschke R. et al. American Association of Clinical Endocrinologists, Associazione Medici Endocrinologi, and European Thyroid Association medical guidelines for clinical practice for the diagnosis and management of thyroid nodules. Endocr Pract. 2010; 16 (Suppl. 1): 1–43. DOI: 10.4158/10024.GL
- Demidova T.Ju., Drozdova I.N., Potehin N.P. i dr. Printsipy diagnostiki i lechenija uzlovogo zoba. Meditsinskij sovet. 2016; 3: 86–91 [Demidova T.Yu., Drozdova I.N., Potekhin N.P. et al. Principles of diagnosis and treatment of nodular goiter. Medical Council. 2016; 3: 86–91 (in Russ.)]. DOI: 10.21518/2079-701X-2016-3-86-91
- Hyun Kyung Lim, Se Jin Cho, Jung Hwan Baek et al. US-Guided Radiofrequency Ablation for Low-Risk Papillary Thyroid Microcarcinoma: Efficacy and Safety in a Large Population. Korean J Radiol. 2019; 12: 1653–61. DOI: 10.3348/kjr.2019.0192
- Zhou W., Ni X., Xu S. et al. Ultrasound-Guided Laser Ablation Versus Microwave Ablation for Patients With Unifocal Papillary Thyroid Microcarcinoma: A Retrospective Study. Lasers Surg Med. 2020; 52 (9): 855–62. DOI: 10.1002/lsm.23238