Fewer complications. Shorter recovery time Quick return to normal work and leisure activities. Preserves your thyroid function. No life long thyroid medication. No general anesthesia Local only. No hospital admission. No surgical scar. No...
More infoCostly General anesthesia for Thyroid Nodule RFA Ablation. Now add another expense with continuous intraoperative neuromonitoring CIONM. AM J. Surg C.Sinclair et al Nov 2020 Dr Guttler’s comments: To justify the use of a general with the...
More infoDr.Guttler’s comments: QoL was evaluated using a thyroid-specific QoL questionnaire consisting of 11 scales with multiple-choice answers. Nodule characteristics and QoL were evaluated at diagnosis and 1, 6, and 12 months after treatment...
More infoThe importance of being awake during the procedure is to be able to tell the operator that there is a problem. Recent paper by a group of surgeons and endocrinologists had his quote. “Patients also had additional mild conscious sedation...
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Playing Defense From the Start: Know The Thyroid Neighborhood. Richard Guttler MD Interventional Thyroidologist Dr.Guttler’s Lecture on May 8th in Irvine California to future thyroid physicians during a workshop with cadavers and models...
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Since 2013 Dr.Guttler has Been the First US Thyroidologist to Have Experience Learning and Teaching Thyroid RF to Thyroid Physicians. In 2018 he finally began treating patients after late FDA approval. Image is of Dr.Guttler treating a patient of...
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No Country for Aggressive Operators: Do No Harm When Treating Patients with Benign Thyroid nodule with Radiofrequency Ablation RFA. It takes years of experience to go for total ablation of large thyroid nodules. The risk of injury increases with...
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Autonomous Functioning Thyroid Nodules AFTN and Toxic Nodules: Avoid Radioiodine Therapy RAI as it has risk of increased all-cause mortality. Consider Radiofrequency ablation RFA instead. DR. Guttler’s comments: They found no increased...
More infoDR.Guttler’s comments: This is an excellent video by a surgeon on the risks of RFA for thyroid nodules. The thyroid sits surrounded by important structures including the trachea, recurrent laryngeal nerve (RLN) and vagus nerve, and common...
More infoEfficacy and Safety of Thyroid RFA for autonomous functioning thyroid nodules AFTN. Dr.Guttler’s comments: 411 AFTNs treated by thermal ablation in 391 patients in 14 studies. TSH normalization was achieved in 71.2% of...
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Nodule AFTN Treatment with radiofrequency ablation RFA vs Radioiodine therapy RAI. DR.Guttler’s comments: The RAI group had patients develop hypothyroidism needing life time thyroid hormone replacement. 5/25 patients developed clinical...
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Thyroid No Surgery or Radiation for Autonomous Functioning Thyroid Nodules AFTN: Radiofrequency Ablation should be the treatment of choice in 2021. Dr.Guttler’s Comments: Until recently the treatment for toxic or AFTN’s was surgery or...
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