Advantages And Disadvantages Of Thyroidectomy

Robots are used in everyday life. They are in cars, our houses, and many places we do not care to notice, as they have become a necessity for daily living. Advancements have been made, that allow for robots to be used in surgery. Robotic surgery is relatively new to the medical industry and it is often underrated. Robotic surgery offers greater efficiency, and utility than that provided through traditional surgical methods. The most traditional and common way of performing surgery is laparoscopically. This means the surgery is performed while looking through a small, camera inserted into the patient’s body. Though this technique is minimally invasive, it poses disadvantages, which can be overcome with the use of robotics in surgery.

Failure to thoroughly decontaminate the site can allow the naturally present microbiota of the patient’s skin to enter the bloodstream, causing an infection and possibly result with a disease. (Tortora, 2013) Additionally, test results can be falsely elevated or decreased if the site is not completely dry before needle insertion due to the body’s ability to metabolize alcohol into a form of sugar. (Garza, 2010) For example, test results for glucose levels would be falsely elevated if alcohol entered the bloodstream. Phlebotomists can also cause hemoconcentration by over palpitating the vein, excessive tourniquet application, and allowing the patients to overly pump their fist. (Morgan, 2005) These actions manipulate the vein’s chemistry and adversely affect the results of laboratory assays conducted. For instance, an increase of proteins, lipids, cholesterol, and Iron is evident of prolonged use of the tourniquet during blood collection. (Morgan, 2005) A Phlebotomist should always treat venipunctures safely and gently to ensure a quality

Imagine a place where robots can not only decrease mistakes, but it can also save many lives during dangerous and high risk surgeries. I have had friends and family have these procedures done, and it was helpful and successful. Telerobotic surgeries are helpful, it prevents less to no mistakes, less deaths, and makes procedures easier.

As technology improves, surgical robots are rapidly gaining support among both doctors and patients across America. Today more than 900 hospitals have the da Vinci robot which is double the number in 2007. (Freyer, 2010) Da Vinci robots were first approved by the FDA in 2000 for prostate removal, but now da Vinci robots are used for a variety of other surgical procedures (Freyer, 2010). Robot assisted surgery offers advantages such as smaller incisions, reduced blood loss, less pain and faster healing time (Vijay, 2010), as well as making surgery less demanding for the surgeon. Robotic surgery involves many obvious advantages but the impact of cost, access, and quality must

Robotic surgery is playing a crucial role in the advancement of current medical technology. The cost effectiveness of these procedures, coupled with the rates of procedure safety, procedure failure or complications, and patient recovery has the potential to drive the success or failure of robotic use.

If you have surgery, all or part of your thyroid gland may need to be removed as well.

They described interesting study report that TBSRTC (The Bethesda system for reporting thyroid cytopathology) for FNAC of thyroid is a definitive diagnostic test to triage patients on the requirement of surgery and to differentiate malignant from non-malignant lesions in children and youth. They conducted a prospective study of 18 months. FNAC was performed on 106 children, mean age was 18.9 years. Majority were female in 20-24 years age group out of 106 patients distribution o f diagnostic category as I-4.7%, II-85.8%, II-4.7%, IV-1.9%, V-0.9%, and VI-2%.

The surgeon uses 10 cc of Lidocaine with epi 1:100,000 and injects it into the anterior neck. A symmetrical transverse incision is made with a # 15 blade along the fold lines of neck. The surgeons second surgical technologist (SS) is holding the skin back with skin hooks as he is using the cautery to dissect through the subcutaneous tissue. When he visualizes the strap muscles he asks his ST for a McCabe to separate the muscles apart. At this time the results came back from pathology stating the patient has no signs of disease in left lobe of thyroid. He proceeds to separate the muscles and along the way he has used the cautery to control bleeding. The surgeon exposes the thyroid and slowly he begins to manipulate the right lobe cauterizing any bleeding vessels with the harmonic scalpel. The assistant is asking for the laryngeal nerve probe to identify the recurrent laryngeal nerve to prevent any damage to it. If the nerve isn’t protected the patient could lose their voice. Once everything is protected and out of the way he dissects the right lobe of the thyroid away using a # 15 blade at times and using the harmonic

After removal of the thyroid gland, patients can undergo radiographic scintigraphy in the nuclear medicine department to obtain functional and anatomical information. Imaging the patient after the administration of I-123 or I-131 can identify precise locations of radioactivity in the entire body, which can identify distant metastases or any remaining thyroid tissue. The size and location of radioactivity can influence whether doctors chooses surgical excision, radioactive iodine therapy (RAI), or external radiation therapy for those areas. Planar imaging has a sensitivity of 41%, specificity of 68%, and an accuracy of 61% compared to SPECT imaging having rates of 45%, 89%, and 78%. With the combining of SPECT/CT,

Surgery is done to remove as much of the cancer as possible. The bigger the lump, the more of the thyroid gland must be removed. Frequently, the entire gland is taken out. After the surgery, most patients should receive radioactive iodine, which is usually taken by mouth. This substance kills any remaining thyroid tissue. It also helps make medical images clearer, so doctors can see if there is any additional cancer. If surgery is not an option, external radiation therapy can be useful. After surgery or radioactive iodine, the patient will need to take medication hormone that the thyroid would normally

Hemostasis was maintained with the neo point electro corderin. An elliptical excision was made a pound the right lateral neck after infra treating with 1 percent lidocaine with one, and one hundred thousand epinephrine. This was made to set the measurements of the full thickness graft for 3.5 by 2 centimeters. This was taken down to the skin and into the subcutaneous tissue with the 15 blade. The 15 was then used to dissect the full thickness skin graph off from the surrounding subcutaneous tissue. The wound was then closed using multiple interrupted buried foropedia sutures, and then a running subcuticular foroprolene stitch. Hemostasis was maintained prior to closer with the electro quarter. The full thickness skin graft was placed on a saline soaked lab pad during the closer of the right neck wound. The neck wound was also then cleansed; the sutures were applied.

Minimally invasive surgery can be performed in different kinds of surgical operations. Some of them

The preoperative preparation for thyroidectomies for the BMNG patients included the following investigations: neck ultrasound, determination of free T3, free T4, thyroid stimulating hormone and serum calcium concentration, and fine-needle aspiration cytology. Operative Total thyroidectomy is defined as the surgeon’s attempt to perform an extracapsular removal of the entire thyroid gland including pyramidal lobe while preserving the parathyroid glands RLNs, and external branches of the SLNs. The terminal branches of the superior thyroid artery were identified and dissected meticulously as close to the thyroid capsule as possible to avoid damaging the SLN (Fig. 1). The external branch of the SLN travels inferiorly along the lateral surface of the inferior constrictor until it terminates at the cricothyroid muscle (Fig. 2).The delicate technique was performed by seeking, identifying and exposing the RLN itself with all branches, and following its course with care until it entered larynx.

Thyroid surgery is done by endocrine surgeons. These are surgeons who have specialised in operating on organs which produce hormones such as the thyroid, parathyroid, pancreas and adrenal glands. This means that the doctor carrying out the thyroid surgery will have years of experience in thyroid removal and be able to minimise any risks. They are able to discuss what type of surgery is best for you and what your unique concerns are. While your surgeon will discuss risks in detail before gaining your consent for the surgery here are three of the most important complications of thyroid surgery, especially thyroid removal.

Technology is transforming the medical field with the design of robotic devices and multifaceted imaging. Even though these developments have made operations much less invasive, robotic systems have their own disadvantages that prevent them from replacing surgeons all together. Minimally Invasive Surgery (MIS) is a broad notion encompassing a lot of common procedures that existed prior to the introduction of robots. It refers to general procedures that keep away from long cuts by entering the body through small, usually about 1cm, entry incisions, through which surgeons use long-handled instruments to operate on tissue inside the body. Such operations are directed by viewing equipment and, therefore, do not automatically need the use of a robot. Yet, it is not incorrect to say that computer-assisted and robotic surgeries are categories that fall under minimally invasive surgery (Robotic Surgery, n.d.).