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Old 04-24-2008, 08:35 PM   #1
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Minimallly Invasive Thyroidectomy

Do most people who get thyroidectomies get the minimally invasive technique? I know someone who is getting a parathyroidectomy and finding a surgeon using the minimally invasive technique was hugely impt. to her. She said the minimally invasive surgery would use a much smaller opening-thus smaller scar, surgery would be done in a shorter period of time, and she would not be under general anesthetic. The surgeon that she is using will probably be the same one I will use if I go forward with a thyroidectomy. I would expect she would use the min. invasive for thyroidectomy as well.Does anyone know if the min. invasive is now the standard for thyroidectomy?

Last edited by osteoblast; 04-24-2008 at 08:42 PM.

 
Old 04-24-2008, 10:27 PM   #2
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Re: Minimallly Invasive Thyroidectomy

Quote:
Originally Posted by osteoblast View Post
Do most people who get thyroidectomies get the minimally invasive technique? I know someone who is getting a parathyroidectomy and finding a surgeon using the minimally invasive technique was hugely impt. to her. She said the minimally invasive surgery would use a much smaller opening-thus smaller scar, surgery would be done in a shorter period of time, and she would not be under general anesthetic. The surgeon that she is using will probably be the same one I will use if I go forward with a thyroidectomy. I would expect she would use the min. invasive for thyroidectomy as well.Does anyone know if the min. invasive is now the standard for thyroidectomy?
From what I have been reading, it is not the standard. It is typical to use general anesthesia and to do a 3-4 inch scar. It depends partially on why you are having a TT. One for suspected cancer or where lymph nodes may be involved may require an even larger incision. I was told at MD Anderson should I need surgery it would take about 1 1/2 hours to 2 hours at the most. An ENT I talked to said it would take him 3 hours.

Was just reading that total thyroid volume must not exceed 50 ml. for minimally invasive surgery. The cut off had been 25 to 30 ml. Usually the surgery takes a bit longer than the traditional approach. A 2008 ENT journal says the surgery has not been widely accepted in the United States, but they feel it would be safe in selected patients with doctors who do a high volume of surgeries.

Last edited by Curious2013; 04-24-2008 at 11:00 PM.

 
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Old 04-25-2008, 05:40 AM   #3
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Re: Minimallly Invasive Thyroidectomy

Yes, my friend used a surgeon like this in Columbia presbytarian, and he does it without anesthesia. A funny story that happend to her----they gave her valium and wheeled her into the surgery, she was doped up, and got up to leave and go home, as the surgery was starting. So in the end, the only way they could give her the surgery was to give her general anesthesia---boy was she surprised when she woke up!!!

I had a very experienced thyroid/parathryroid specialist, with I guess, his own techniques. I had my thyroid, and a muscle, and several lymph nodes removed, and my scar is barely three inches, and really not noticeable. My surgery took a long time, but I'm glad the surgeon took his time, because I had no bad side effects from it. My mother in law used a local ENT for her TT, and her scar is bigger than mine, but not very large or anything to be concerned about.

If you look at pictures of old TT's in europe, they are quite scary, with scars around the base of the neck. I think those are just old techniques.

I would say if the surgeon is experience enough to perfect and develop techniques---then that's a good one!

Last edited by Reece; 04-25-2008 at 05:41 AM.

 
Old 04-25-2008, 09:01 AM   #4
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Re: Minimallly Invasive Thyroidectomy

My mom had a PT and my Aunts TTs. There scars range from 2.5 inchs to 2 in length after healing. Given the location it isn't noticable on any of them. My mom bought a new necklace that covered her area and wore it for about a month.. people continually made comments on the necklace and than she had lost weight especially in the neck (see goiter removal = instant weight loss). After a month of this she *snorted* waved here hands and went with out. No one mentions it or seemed to notice without the choker drawing their attention to it.

I personally look people in the eye or mouth. Men look me in the eye or lower given a V neck and DDDs... but most don't stare at the neck. The resulting scar is nothing to worry over.

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Old 04-25-2008, 09:52 AM   #5
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Re: Minimallly Invasive Thyroidectomy

The appeal of minimally invasive to me is not just a smaller scar BUT I really do not want general anesthetic. I have heard that general can impair cognitive function-and right now I am fighting hard to not impair my cognitive function any further. Hashi's has taken a toll on my brain--I hope that when my levels get stabilized --someday, my brain will function more like it used to.So, if general is bad for brain health I want to avoid it. I saw a brain expert on tv recently and he said repeatedly people tell him that after their general anesthesia they were just not the same in the brain. With hashi's slowing our systems, it seems like it could be even worse because we can't get the chemicals out of our system as quick as others. Even a local was hard for me to clear out of my system this past year while my tsh was not stabilized and probably around 4. I felt very disoriented for several days. Now maybe they gave me too much as well.
MKG and others----would you agree with this about general anesthesia and hashi's???
MKg-what is DDD, that you put in your last post here?

 
Old 04-26-2008, 03:59 AM   #6
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Re: Minimallly Invasive Thyroidectomy

hi all ost, i totally agree with you about avoiding the general, and yes im super senstitive to any meds and i had a horrid reaction to thre detal jab they gave me it made me have palps for 2 days after and i felt very down in the dumps for about a week actually when they did the local i nealry blacked out and had a heart thumping bad experience i have toothache right now and its already making me feel on edge !!!!
although we can have non epidrine thankfully and so far it has been good for me, i didnt know about the brain injury im already strange and unstable on thyroxine when i get to low on my tsh i have lots of thoughts and its like i cant catch one fast enough i go upstairs all the time only to think why am i here???? horrible scarey feeling and i tried to put the remote control to the tv in the frige it rather reminds me of when i used to get like this before a period lol, so please tell us more about the generals i have had lots earlier in my life i darnt now if locals are like this on me, what the devil would a general be like for me i should imagine very bad for hashis people i have a nodule aswell that seems to be playing up again so a local would be much better for me to , very intersting post guys and hi mg you are so helpfull to so many people you know i know others are aswell what would we do without you all love katxxxx

 
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