TECHNICAL ASPECTS OF STRUMECTOMY IN TOXIC GOITER
Keywords:
diffuse toxic goiter, surgical treatmentAbstract
Objective: To improve the techniques of performing strumectomy in patients with toxic forms of goiter.
Methods: The study is based on the results of treatment of 112 patients with toxic forms of goiter who were admitted to the surgical departments of the multidisciplinary clinic of the Samarkand State Medical University and the City Medical Association No. 1 in the period from 2012 to 2021.
Results: As a result, a reduction in the period of complex stages was achieved from 15.8±0.9 to 6.7±0.5 minutes (p<0.001), respectively, the total operation time decreased from 92.7±4.8 to 63.4±3.6 minutes (p<0.001).
Conclusions: The improvement of the techniques of performing a strumectomy with the proposed surgical instrument makes it possible to simplify the technique of performing the operation and to level the risk of intraoperative complications.
References
Белоконев, В.И. Влияние техники выполнения операции на непосредственные результаты лечения больных с токсическими формами зоба / В.И. Белоконев, А.А. Старостина // Хирург. - 2018. - № 1. - С. 42-47.
Исмаилов, С.И. Качество жизни пациентов на фоне терапии тироксином и комбинацией тироксина и трийодтиронина после тотальной тиреоидэктомии вследствие болезни Грейвса / С.И. Исмаилов, А.М. Акбутаев, А.А. Элов // Международный эндокринологический журнал. - 2017. - Т. 61, № 5. -С. 52-55.
Bartalena, L. Management of hyperthyroidism due to Graves' disease: frequently asked questions and answers (if any) / L. Bartalena, L. Chiovato, P. Vitti // Journal of Endocrinological Investigation. - 2016. - Vol. 39. - P. 1105-1114.
Shin YW. et al. Diminished Quality of Life and Increased Brain Functional Connectivity. Patients with Hypothyroidism After Total Thyroidectomy // Thyroid. -2020. - Vol. 26, № 5. - P. 641-649.
Schneider D.F. et al. Thyroidectomy as primary treatment optimizes body mass index in patients with hyperthyroidism // Ann Surg Oncol. - 2021. - Vol. 21, № 7. - P. 2303-2309.
