Thyroid Surgery 101: 1869 Almost half 8/20 of the goiter patients having surgery died.

Thyroid Surgery 101: 1869 Almost half 8/20 of the goiter patients having surgery died.

Thyroid Surgery 101: 1869 Almost half 8/20 of the goiter patients having surgery died.

 Thyroid Surgery 101: 1869 Almost half 8/20 of the goiter patients having surgery died.

Dr. Guttler’s comments:
1. Modern thyroid surgery in 2018 140 years after his article has improved dramatically.
2. Deaths are rare. However, complications still are common and can be serious.
3. Whenever there is a safer alternative it is better to avoid surgery.
4. Low volume surgeons doing less than 25 thyroidetomies a years have high complication rates.
5. Question your primary why he sends you to the surgeon with low volume, instead of referral
to a center with high volume thyroid surgeons.
6. Question why your benign goiter requires surgery when low cost safe alternative procedures are available.
7 Ethanol ablation PEI is a 10 minute outpatient procedure to cure thyroid and parathyroid cysts.
8. Thyroid Radiofrequency ablation RFA is a 20-30 minute outpatient procedure to treat benign solid nodules.
9. Both PEI and RFA are available to treat recurrent neck lymph nodes from thyroid cancer.
10. Both PEI and RFA are available to treat primary micro-papillary cancer as alternative to surgery in selected patient.

Call me at 310-393-8860 or email to thyroid.manager@protonmail.com for details to see if you are a

candidate for any of these surgery saving procedures.

 

July 1935

DISEASE OF THE THYROID GLAND AN INTERPRETATIVE REVIEW OF PROGRESS TOWARD SOLUTION OF THE PROBLEM

Arch Intern Med (Chic). 1935;56(1):136-206. doi:10.1001/archinte.1935.03920010144009

SURGICAL CONSIDERATIONS

Review of Progress in the Knowledge of Disease of the Thyroid.  — Billroth in 1869 had performed partial thyroidectomy for goiter in 20 cases, with 8 deaths (40 per cent), and he stated: “To him who has had little practice in these operations it can easily happen that he removes the entire half of the gland instead of merely the tumor (enucleation) whereby the operation becomes very complicated and most dangerous.” Most of the deaths were due to infection and only 1 to collapse (hemorrhage?).The present review is concerned chiefly with those developments in surgical technic, clinical skill, therapeutic and preventive measures and scientific investigation which have greatly reduced the morbidity and the mortality in all types of disease of the thyroid.* As the most striking recent advance has been in the reduction of mortality in exophthalmic goiter, I shall first trace the developments that have caused

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