OBJECTIVE To determine the risk of postthyroidectomy hypocalcaemia by measuring parathyroid hormone (PTH) level after thyroidectomy. STUDY DESIGN Cross-sectional study. PLACE AND DURATION OF STUDY Baqiyatallah Hospital, Tehran, Iran, from March 2008 to July 2010. METHODOLOGY All included patients were referred for total or near bilateral thyroidectomy. Serum Calcium (Ca) and PTH levels we...

UNLABELLED The recurrent laryngeal nerve (RLN) is particularly prone to injury during thyroidectomy in case of extralaryngeal bifurcation being present in approximately one-third of patients near the inferior thyroid artery or ligament of Berry. Meticulous surgical dissection in this area may be additionally facilitated by the use of intraoperative neuromonitoring (IONM) to assure safe and comp...

BACKGROUND We conducted a systematic review to evaluate the role of Ultrasonic dissector (UAS) versus conventional clamp and tie in thyroidectomy. MATERIALS AND METHODS We searched for all published RCT in into electronic databases. To be included in the analysis, the studies had to compare thyroidectomy with UAS versus conventional vessel ligation and tight (conventional technique = CT). The...

Subtotal and total thyroidectomy are the surgeries commonly performed for benign thyroid disorders. Total thyroidectomy was not routinely performed in the past as it was believed that complications like hypoparathyroidism and recurrent laryngeal nerve injury are more common after total thyroidectomy. However subtotal thyroidectomy is associated with recurrence of the disease which warrants a se...

This paper presents an analytical model based on mean value analysis (MVA) technique for a probabilistic re-entrant line. The objective is to develop a solution method to determine the total cycle time of a Reflow Screening (RS) operation in a semiconductor assembly plant. The uniqueness of this operation is that it has to be borrowed from another department in order to perform the production s...

In general, most thyroid cancers are indolent and have a slowly progressive course. The exception is anaplastic thyroid cancer. It is one of the most fatal neoplasms in humans, with median survival of 4-12 months. Here, we present a patient with anaplastic thyroid cancer who survived for more than 10 years after diagnosis. A 68-year-old man was incidentally found to have anaplastic thyroid canc...

BACKGROUND Robotic or endoscopic thyroidectomy using bilateral axillo-breast approach (BABA) is frequently performed for excellent cosmesis. However, postoperative pain is remained as concerns due to the extent tissue dissection and tension during the operation. Ketamine is a noncompetitive N-methyl-D-aspartate (NMDA) receptor antagonist that reduces acute postoperative pain. We evaluated the e...

BACKGROUND Thyroid disease is common in the elderly population. The incidence of hypothyroidism and multinodular goitre gradually increases with age. In view of a growth of aging population, we performed a literature review about the feasibility of thyroid surgery in the elderly. METHODS We conducted a literature search in the PubMed database in September 2012 and all English-language publica...

BACKGROUND Advanced vessel sealing devices provide an alternative to conventional ligation techniques for thyroidectomy. To date, most studies have been inadequately powered to explore differences in the infrequent post-operative complications following thyroidectomy. This study is designed to compare the outcomes of sutureless thyroidectomy and conventional thyroidectomy for recurrent laryngea...

Objectives. Ideal thyroid surgery is still a debated issue due to preoperative pathology and varying rates of postoperative incidental carcinoma and complications. In our clinic loboisthmectomy and bilateral total thyroidectomy are the treatment of choice in benign nodular thyroid diseases. The objective of this study was to analyse effectiveness and safety of bilateral total thyroidectomy and ...