Thyroid Surgery in Local Anaesthesia: Renewal an Old Method

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Journal of Thyroid Disorders & Therapy offers the most comprehensive and reliable information pertaining to the latest developments in the field. The Journal also believes in advancing new hypotheses and opinions by means of its high quality Reviews, Perspectives, and Commentaries. Thus, the content published in the journal is original and comprehensive.

Thyroid surgery is performed for several reasons and can include symptomatic thyroid nodules, recurrent thyroid cysts, goiter, Graves’ disease, and to rule out or treat thyroid cancer. The purpose of thyroid surgery is to remove part or all of the thyroid gland. You will be in the hospital usually one night. Your surgeon will explain your specific surgery and why it is recommended in your case.

In the older times of thyroid surgery, the operations were performed under local anaesthesia. With the development of anaesthesia surgeons preferred to use narcosis for most thyroid surgeries. Today, however, regional anaesthesia has become popular as a safe and effective technique based on numerous clinical studies, surgeons are still keen on doing surgeries under general anaesthesia. Regional anaesthesia is indicated in high risk patients and also in case of pregnancy, but in well-fit patients it could lead to faster recovery. In case of a substernal goitre or infiltrating carcinoma or in case of severe bleeding disables general anaesthesia should be chosen. At the Department of Multidisciplinary Head and Neck Cancer Center in the National Institute of Oncology between May 2019 and March 2020, 9 patients underwent thyroid or parathyroid operations in regional anaesthesia: 7 patients had lobectomy, 1 patient had thyroidectomy, and 1 patient had parathyroid adenoma removal. In all cases, the regional anaesthesia involved the blockage of the superficial branches of the cervical plexus, followed by an ultrasound guided thyroid capsule sheath space block. Patients were previously given 2 mg of i.v. midazolam, and in case of need 50 ug of i.v. fentanyl under haemodynamic monitoring.

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Manuscripts can be uploaded online at https://www.longdom.org/submissions/thyroid-disorders-therapy.html or you can mail through this mail id as an attachments thyroid@emedscience.org

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Regards
Denise Williams
Editorial Manager     
Journal of Thyroid Disorders & Therapy
E-mail id: thyroid@emedscience.org