ABSTRACT
Postoperative dysphonia is not rare and in some cases life-treating complication in the thyroid surgery. Its emerge, autonomous, or attended with dysphagia and dyspnea is an early symptom for intraoperative lesion of n. laryngeus recurrens. The investigation is carried out over 21 patients with postoperative dysphonias, operated for euthyroid or hyperthyroid strumas and followed-up for a period of 3-10 months. Analysis of the results indicated that the main reason for postoperative dysphonias in thyroid surgery is the lesion of n. laryngeus recurrens. Along with this one is impressed by the fact that in 30% of the cases dysphonic complaints may owe to nonsurgical reasons.
Subject(s)
Postoperative Complications/diagnosis , Thyroid Gland/surgery , Voice Disorders/diagnosis , Anesthesia , Diagnosis, Differential , Goiter/complications , Goiter/surgery , Humans , Hyperthyroidism/complications , Hyperthyroidism/surgery , Intubation, Intratracheal/adverse effects , Laryngoscopy , Postoperative Complications/etiology , Recurrent Laryngeal Nerve Injuries , Risk Factors , Vocal Cord Paralysis/diagnosis , Vocal Cord Paralysis/etiology , Voice Disorders/etiologyABSTRACT
Thirty patients presenting malignant adrenal tumors of which 19 women aged 3-70 years, and eleven men with ages ranging from 5 to 70 years, are operated in the clinic of endocrine surgery over the period 1965 through 1992. In 16 cases the neoplasm is located on the right side, and in thirteen--on the left side. In 26 patients it is a matter of primary tumor, and in four--metastasis. Ten patients present the clinical picture of corticosteroma, three--pheochromocytoma, and four--corticoandrosteroma. The neoplastic mass extirpated weighs from 69 to 2050 g, necessitating the performing of nephrectomy in six instances, and splenectomy--in two. The operative technique used, intra- and postoperative complications, and the early and late postoperative survival in the series reviewed are analyzed.
Subject(s)
Adrenal Gland Neoplasms/surgery , Carcinoma/surgery , Adolescent , Adrenalectomy/methods , Adult , Aged , Child , Child, Preschool , Chronic Disease , Female , Humans , Male , Middle Aged , Neoplasm MetastasisABSTRACT
Proceeding from the analysis of 848 patients with hyperthyroid goiter, including all three nosological entities--Graves' disease (538), toxic adenoma of the thyroid (126), and struma basedowificata nodosa (184)--operated in the clinic of endocrine surgery over a five-year period, some modern trends in the therapeutic approach are discussed, preoperative preparation of the patients and resection scope, in particular. It is recommended to discard preparation with the classical Lugol's solution in mild and medium severe forms of Graves' disease, routinely used in the clinic over the past few years, and operate after administration of 1-2 tablets Metizole which shortens preoperative hospitalization, and secures postoperative period free of hyperthyroid complications.
Subject(s)
Goiter, Nodular/surgery , Graves Disease/surgery , Hyperthyroidism/surgery , Thyroidectomy/methods , Adolescent , Adult , Child , Combined Modality Therapy , Female , Humans , Male , Middle Aged , Preoperative Care/methods , Thyroidectomy/trendsSubject(s)
Adrenal Gland Neoplasms/pathology , Dysgerminoma/secondary , Head and Neck Neoplasms/secondary , Adrenal Gland Neoplasms/surgery , Adrenalectomy , Dysgerminoma/pathology , Dysgerminoma/surgery , Head and Neck Neoplasms/pathology , Head and Neck Neoplasms/surgery , Humans , Male , Middle Aged , ReoperationABSTRACT
The approaches to the adrenal gland may generally be classified into three groups abdominal, lumbar and thoracic. Thoracophrenotomy is one of them, which is used in the surgical treatment of diseases of the adrenal gland. The approach has a series of advantages over the other conventionally used ones; this is confirmed by the good results obtained with its application in 21 operated patients.
