Our Summary

This research study looks at whether alternative energy devices, used to stop bleeding during thyroid surgery, are as effective as conventional methods in preventing post-surgery bleeding. To answer this, the researchers went through hundreds of studies published between 1946 and 2018, focusing on those that met their criteria. They found that the use of alternative energy devices does not significantly affect the rate of post-surgery bleeding, compared to traditional methods. This suggests that the choice of method to stop bleeding does not necessarily have to consider the risk of bleeding after surgery. This finding may help surgeons decide which technique to use during thyroid surgery.

FAQs

  1. What was the main focus of this research study on thyroid surgery?
  2. Did the researchers find any significant difference in post-surgery bleeding between the use of alternative energy devices and conventional methods?
  3. How can the results of this study impact the choice of technique surgeons use to stop bleeding during thyroid surgery?

Doctor’s Tip

One helpful tip a doctor might tell a patient about thyroidectomy is to make sure to follow all post-operative care instructions provided by the surgeon. This can include taking prescribed medications, avoiding strenuous activities, and attending follow-up appointments. Following these instructions can help ensure a successful recovery and minimize the risk of complications.

Suitable For

Patients who are typically recommended thyroidectomy include those with:

  1. Thyroid cancer
  2. Benign thyroid nodules causing symptoms such as difficulty swallowing or breathing
  3. Thyroid nodules that are suspicious for cancer
  4. Hyperthyroidism that is not controlled with medications
  5. Enlarged thyroid gland (goiter) causing compression of nearby structures

It is important for patients to discuss with their healthcare provider the risks and benefits of thyroidectomy in their specific case, as well as alternative treatment options.

Timeline

Before thyroidectomy:

  1. Consultation with an endocrinologist or surgeon to discuss the need for surgery and the risks and benefits.
  2. Pre-operative assessment including blood tests, imaging studies, and possibly a fine needle aspiration biopsy of the thyroid gland.
  3. Pre-surgical preparation which may include medication adjustments, dietary restrictions, and instructions on how to prepare for surgery.

After thyroidectomy:

  1. Immediate post-operative care in the recovery room to monitor vital signs and pain management.
  2. Hospitalization for a few days to monitor for any complications such as bleeding, infection, or damage to the parathyroid glands.
  3. Follow-up appointments with the surgeon to check the surgical site, monitor hormone levels, and discuss any symptoms or concerns.
  4. Long-term management of thyroid hormone replacement therapy to maintain optimal hormone levels and prevent hypothyroidism.
  5. Potential need for further treatment or monitoring, such as radioactive iodine therapy or regular thyroid function tests.

What to Ask Your Doctor

  1. What are the potential risks and complications associated with thyroidectomy surgery?
  2. How long is the recovery process after thyroidectomy surgery?
  3. Will I need to take thyroid hormone replacement medication after the surgery?
  4. Are there any dietary or lifestyle changes I should make after the surgery?
  5. What are the chances of developing hypoparathyroidism or vocal cord paralysis after the surgery?
  6. How long will I need to stay in the hospital after the surgery?
  7. Will I need to undergo any additional tests or follow-up appointments after the surgery?
  8. What is the likelihood of the thyroid cancer returning after the surgery?
  9. What are the success rates of thyroidectomy surgery for treating thyroid cancer?
  10. Are there any alternative treatment options to thyroidectomy that I should consider?

Reference

Authors: Hua N, Quimby AE, Johnson-Obaseki S. Journal: Otolaryngol Head Neck Surg. 2019 Nov;161(5):770-778. doi: 10.1177/0194599819865248. Epub 2019 Jul 23. PMID: 31331260