Medicine
Moen Hosein Pour Feyzi; Ahmad Sheykhloo
Abstract
Thyroidectomy is a common surgical procedure performed to treat various thyroid disorders. In recent years, advancements in surgical techniques and perioperative management have contributed to improved outcomes and reduced complications. This scoping review aims to provide a comprehensive overview of ...
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Thyroidectomy is a common surgical procedure performed to treat various thyroid disorders. In recent years, advancements in surgical techniques and perioperative management have contributed to improved outcomes and reduced complications. This scoping review aims to provide a comprehensive overview of modern surgical techniques and perioperative complications management in thyroidectomy. The review encompasses a wide range of literature, including original research studies, systematic reviews, and clinical guidelines. It explores various modern surgical techniques employed in thyroidectomy, such as minimally invasive approaches (e.g., endoscopic and robotic-assisted), intraoperative nerve monitoring, and indocyanine green fluorescence imaging. The benefits, limitations, and outcomes associated with these techniques are discussed, highlighting their impact on surgical precision, postoperative recovery, and patient satisfaction. Additionally, the review addresses the perioperative complications management in thyroidectomy, focusing on key areas such as bleeding, recurrent laryngeal nerve injury, hypocalcemia, and surgical site infection. It discusses the identification and management of risk factors, the role of advanced imaging and monitoring techniques, and the importance of multidisciplinary collaboration in optimizing patient outcomes. Overall, this scoping review provides a comprehensive synthesis of the current evidence on modern surgical techniques and perioperative complications management in thyroidectomy. It serves as a valuable resource for surgeons, healthcare professionals, and researchers, offering insights into the advancements, challenges, and future directions in this field, ultimately contributing to improved patient care and surgical practice.
Medicine
Moen Hosein Pour Feyzi; Majid Montazer Bavil Olyaee
Abstract
Introduction: The symptoms of anastomotic leak often appear only at a late stage or are nonspecific, with many different diagnoses and treatments available with no clear consensus on the underlying mechanisms. The purpose of this review is to provide a brief summary of the existing literature on the ...
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Introduction: The symptoms of anastomotic leak often appear only at a late stage or are nonspecific, with many different diagnoses and treatments available with no clear consensus on the underlying mechanisms. The purpose of this review is to provide a brief summary of the existing literature on the definition and classification of thoracic esophagectomy anastomotic leak, its importance and prevalence, as well as the different risk factors, diagnoses and treatments.Material and Methods: Scopus and PubMed electronic databases were searched to identify articles published between 1995 and 2022 on AL after esophagectomy. Terms used include: “anastomotic leak,” “esophageal cancer,” “cervical,” “intrathoracic,” “diagnosis,” “management,” “risk factor,” combined with Boolean “OR” function study Frequent references for further research and related publications are searched. There is limited English language.Results: Anastomotic leak is one of the most common complications after esophagectomy and is associated with increased morbidity and mortality. Many projects range from small studies to large collaborations aimed at identifying potential preoperative and perioperative risks and improving diagnostic and management procedures. Despite the increase in available data, many aspects of anastomotic leak remain problematic and no general guidelines exist. Conclusion: AL after esophagectomy has many causes, is complex, and can have serious complications that will later affect the outcome. Current treatment is based on an individualized approach and reliable international evidence will help improve the prevention and treatment of AL. Treatment and patient outcomes. Higher quality evidence for such guidelines is urgently needed. The introduction of the ECCG system is a first priority to provide an up-to-date international standard for comparing the results of treatment strategies.
