Dr.Guttler’s comments: To prevent this serious complication, make sure you absolutely need the surgery. A total of 1000 RLNs from 574 patients were assessed in this review. Nearly one-quarter (23%) of the RLNs deviated from their...More info
2022 The Indication For Thyroid Surgery Decreases Further Due to Novel Ablation Procedures For Benign and Thyroid Tumors
Thyroid 32(1) 2022 Tufano RP et al “The year of technical advances in treating nodules and cancer” Dr.Guttler’s comments on this special article on thyroid advances. The number of surgeries for benign nodules has shown a...More info
Jan. 2022 J. of Personalized Medicine. Wei-Che Lin et al Dr.Guttler’s comments: 5 medical centers were involved in this study. Goiter nodules of different sizes had >50% reductions. Conclusion: thyroid RFA is safe and reliable to treat...More info
Continuous Infusion of Dextrose to Protect Vital Structures During Thyroid Radiofrequency Ablation Procedures.
When do we need to use continuous infusion D5W for adequate hydrodissection protective effects? Ma Y. et al Eur. Thyroid Journal October 2021 DR. Guttler’s Comments on the article: Single bolus of D5W has a short half life in the body...More info
Ethanol Ablation, PEI, EA, for Thyroid, Parathyroid and Other Neck Cysts: The Forgotten First Line Treatment.
Dr.Guttler’s comments The PEI, forgotten first choice treatment for cysts has been around since the 1990s and is still not done in many places even when it is the treatment of choice. This Korean study should wake up the physicians seeing...More info
The Gold Rush is ON. Every University, Hospital, Imaging Center, Radiologist, Surgeon is Now Offering Thyroid Radiofrequency Ablation RFA for Nodules.
In 2014 there were none of the above learning thyroid RFA. Only Koreans, and Europeans such as Dr.Baek in Korea and Dr.Valcavi in Italy. After traveling to Italy in 2014, I returned to the US and began to work with RFA systems and to teach...More info
First, thyroid surgery is the primary method of treatment for most thyroid cancers. However, it still is the job of the surgeon it discuss viable alternatives before pushing for a surgery date for the operation. The two areas that there are...More info
Is Thyroidectomy Still the gold standard for all thyroid nodules,cancer, and metastatic lymph nodes?
20 years of image guided interventional methods have emerged as alternatives for treatment. Ethanol ablation PEI has been accepted as best treatment for thyroid cysts. Thermal ablation has been successful in size reduction of thyroid nodules that...More info
In all the procedures I have done with RFA for nodules and cancer I was tricked into doing the procedure on 2 patients who failed to disclose they had a problem that would have resulted in problems if not known before hand. Patient failed to list...More info
Dr.Guttler’s comments: This retrospective study evaluated 884 patients with unifocal low-risk PTMC treated with TL or RFA from June 2014 to March 2018. 460 patients underwent TL (TL group) and 424 patients, who refused surgery or Active...More info
Southern California Thyroid Patients If You Have known thyroid nodules and are one of the first ten patients to call you can have a free neck ultrasound by done personally by Dr.Guttler ( $450 ) value. www.ThyroidNoSurgery.com 310-393-8860 Santa...More info