Strategy and organization of surgical care for patients with thyroid diseases in private medicine


Cite item

Full Text

Open Access Open Access
Restricted Access Access granted
Restricted Access Subscription or Fee Access

Abstract

The paper gives the authors' own experience in organizing surgical care for patients with thyroid diseases In a private medical clinic. The main focus is on the necessary conditions, equipment, features of the diagnostic process, and surgical procedures. The paper presents the current international cytologlcal classification that defines the probability of thyroid malignancy and optimal treatment policies for each Individual patient. The authors consider visual control of the course of the recurrent nerves and the localization of the parathyroid glands to be the principal and Important point of any thyroid operation. The paper describes the operational principle of modern operating equipment: an ultrasonic scalpel and an Intraoperative nerve monitoring device for recurrent laryngeal nerves. It lists the main provisions of surgical care for patients with thyroid diseases under the conditions of private medicine.

Full Text

Restricted Access

About the authors

Yu. V Ivanov

Doctor Plus Medical Center, ООО «Medical Plus»

Email: ivanovkb83@yandex.ru
Professor

D. Yu Agibalov

Doctor Plus Medical Center, ООО «Medical Plus»

N. P Istomin

Federal Research and Clinical Center for Specialized Types of Medical Care and Medical Technologies, Federal Biomedical Agency of Russia

E. L Velichko

Federal Research and Clinical Center for Specialized Types of Medical Care and Medical Technologies, Federal Biomedical Agency of Russia

Candidate of Medical Sciences

E. V Pakholik

Doctor Plus Medical Center, ООО «Medical Plus»

I. S Pozhalostina

Doctor Plus Medical Center, ООО «Medical Plus»

References

  1. Салыбаев А.Д. Оптимизация оказания хирургической помощи в условиях частной многопрофильной хирургической клиники. Автореф. дисс.. канд. мед. наук. Бишкек, 2005; 19 с. [Salybaev A.D. Optimization of surgical care in a private multidisciplinary surgical clinic. Avtoref. diss.. kand. med. nauk. Bishkek, 2005; p. 19 (in Russ.)].
  2. Бельцевич Д.Г., Ванушко В.Э., Мельниченко ГЛ. и др. Клинические рекомендации Российской Ассоциации Эндокринологов по диагностике и лечению (много)узлового зоба у взрослых. Эндокринная хирургия. 2016; 10 (1): 5-12 [Beltsevich D.G., Vanushko V.E., Melnichenko G.A. et al. Clinical recommendations of the Russian Association of Endocrinologists for the diagnosis and treatment of (multi)nodular goiter in adults. Endocrine Surgery. 2016; 10 (1): 5-12 (in Russ.)]. DOI: 10.14341 /serg201615-12
  3. Трошина E.A., Свириденко Н.Ю., Ванушко В.Э. и др. Федеральные клинические рекомендации по диагностике и лечению токсического зоба. Проблемы эндокринологии. 2014; 60 (6): 67-77 [Troshina ЕЛ., Sviridenko N.Yu., Vanushko V.E. et al. Federal clinical recommendations for the diagnosis and treatment of toxic goiter. Problems of endocrinology. 2014; 60 (6): 67-77 (in Russ.)]. doi: 10.14341/probl201460667-77
  4. Gharib H., Papini E., Paschke R. et al. American Association of Clinical Endocrinologists, Associazione Medici Endocrinologi, and European Thyroid Association medical guidelines for clinical practice for the diagnosis and management of thyroid nodules. Endocr Pract. 2010; 16 (Suppl. 1): 1-43. doi: 10.4158/10024.GL
  5. Демидова Т.Ю., Дроздова И.Н., Потехин Н.П. и др. Принципы диагностики и лечения узлового зоба. Медицинский совет. 2016; 3: 86-91 [Demidova T.Yu., Drozdova I.N., Potekhin N.P. et al. Principles of diagnosis and treatment of nodular goiter. Medical Council. 2016; 3: 86-91 (in Russ.)]. doi: 10.21518/2079-701X-2016-3-86-91
  6. Hyun Kyung Lim, Se Jin Cho, Jung Hwan Baek et al. US-Guided Radiofrequency Ablation for Low-Rlsk Papillary Thyroid Microcarcinoma: Efficacy and Safety in a Large Population. Korean J Radiol. 2019; 12: 1653-61. doi: 10.3348/kjr.2019.0192
  7. Zhou W., Ni X., Xu S. et al. Ultrasound-Guided Laser Ablation Versus Microwave Ablation for Patients With Unifocal Papillary Thyroid Microcarcinoma: A Retrospective Study. Lasers Surg Med. 2020; 52 (9): 855-62. DOI: 10.1002/ lsm.23238

Supplementary files

Supplementary Files
Action
1. JATS XML
Download

Copyright (c) 2021 Russkiy Vrach Publishing House