Study presented at the American Thyroid Association 2021 Objective Thyroid RFA should be a first line therapy for benign thyroid nodules. Three endocrinologists present their RFA treatment results on 73 cases treated in outpatient thyroid...More info
Dr.Guttler will be going on vacation from September 20-30 2021 and sabbatical for November 15 to December 15 2021. The 17 patients waiting for treatment in my office can save money by coming in before September 20th or during September 30th to...More info
Dr.Guttler’s comments: Not much can go wrong but here is a summary. Unlike the hospital, my patients are watched post RFA for 30-45 minutes while they are checked for any symptoms. They can return to work but no heavy lifting or exercise...More info
In 2013 Richard Guttler began the training and use of thyroid RFA for thyroid nodules in Italy. He returned and began using 3 different RFA systems to begin to understand how RFA could help his thyroid patients with benign nodules avoid surgery...More info
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 info
A Proven Outpatient Procedure Done Under Local is Moved To Costly Inpatient Setting with General Anesthesia and Nerve Monitoring.
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 info
Why Wait to Treat Your Benign Nodule Out of Fear of Surgery? Ethanol and Radiofrequency Ablation Our Both Available Now
At least 2-4 times a year patients present with extremely large Goiter nodules. They have seen many endocrinologists and surgeons before me.They claim for different reasons not to want surgery even though all the prior physicians told them to...More info
Benign Symptomatic Thyroid Nodules BSTN Treatment with Ethanol or Radiofrequency Ablations had Improved Their Quality of Life QoL.
Dr.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 info
The 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 info
Thyroid No Surgery For Thyroid, Parathyroid or Neck Cysts: Radiofrequency RFA and Ethanol PEI are Treatments not Surgery.
Thyroid 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...More info
Boomerang Shaped Neck Cyst: Is it a thyroid cyst? How I treated it with ethanol PEI. Drawing of the boomerang shaped cyst from soft tissue image. 34 Y/O male with choking sensation. Ultrasound and soft tissue images revealed a boomerang shaped...More info