Minimally Invasive Thyroidectomy: A technique that has come to stay

Minimally Invasive Thyroidectomy

From open to laparoscopic to endoscopic scarless thyroidectomy

The classical surgery for thyroidectomy was a charm for all surgical residents. The work up, the positioning of the patient, marking the incision, raising the flaps, division of strap muscles, exposure of gland, tying of pedicles, identification of recurrent laryngeal nerve and dissecting the gland of the trachea. The steps were delineated like a drill of a military troop and followed in precision from the consultant to the first year resident. The surgery would be conducted like an orchestra with a rhythm.

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“Hiatal hernia” A common cause of reflux and Barrett’s esophagus

(Treated by radiofrequency ablation and antireflux surgery)

The esophagus passes via an opening in the diaphragm as it paths throughout the chest to the stomach eventually ending in the stomach. This opening is generally sufficient for the passing of the esophagus and nothing else. Patients which have a hiatal hernia have an increased opening. A sliding hernia is the most typical of the four representing over eighty percent of all Hiatal hernias. The low esophageal sphincter- the high-pressure area near the junction of the gut and esophagus- fails and allows gut contents to reflux into the esophagus. The symptoms related to a hiatal hernia are variable, but typically include Heartburn – 30 – sixty minutes after eating.

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Abdominal Wall Hernia Repair: A Science in Evolution

(Open Surgery To Laparoscopic Surgery)

For a lot of people, the 1st time they look down at their midsection and see certainly a hernia bulging through, it might be an odd vision – and more than simply somewhat unsettling. It may likewise be confounding for all those people for whom the hernia occasionally carries on to pop in and pop from vision, making the individual second guess be it even actually there at all. The first stage in the process of healing is diagnosis by a physician and after that, for most, surgery. Hernia operation became a pretty routine procedure, and thousands of them are done by surgeons around the world every year.

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Cancer: the fear and the shock

The first diagnosis of any cancer in a patient puts him a phase of denial. The news is always taken as a shock laced with fear and then comes the acceptance.

If you are the cancer doctor of the patient who is referred to you, it is usually not possible to give all the information, options and prognosis to the patient and his relatives in a single go. Firstly, it is not feasible because of the dependency on the staging, surgery, tissue biology and response to medicines. It is a gradual course and a decently lengthy procedure, the patient has to realize he has to take a long journey to get results. Secondly, it is extremely difficult to precisely predict where that journey will take them to.

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