Costly 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...
More infoRadiofrequency For Endocrinologists and Other Thyroid Physicians is my how to guide to using thyroid RF to enhance your office practice by adding this game changing procedure that will allow you to treat patients instead of referring them to...
More infoThyroid No Surgery For Thyroid, Parathyroid or Neck Cysts: Radiofrequency RFA and Ethanol PEI are Treatments not Surgery. Yelp for business New review for Guttler Richard B MD 1328 16th St Santa Monica, CA 90404 5/17/2021 I went to Dr. Guttler...
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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...
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...
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Patient Reaction to the diagnosis of possible or definite thyroid cancer. Thyroid 31(4)2021 S.Pitt et al DR.Guttler’s comments: 85 patients interviewed before thyroid surgery. Many had 1 cm nodules. Initial shock anxiety, fear, and strong...
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Thyroid RFA is now approved for treatment of thyroid nodules in the USA I am doing a study with 80 patients for safety and effectiveness to be done in an endocrine office practice.Thousands of patients in Europe and Asia have had...
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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