A5059763848- Thyroid and Parathyroid Surgery
- Parathyroid Disorders and Treatments
- Voice and Speech Disorders
- Airway Management and Intubation Techniques
- Thyroid Cancer Diagnosis and Treatment
- Pancreatic and Hepatic Oncology Research
- Tracheal and airway disorders
- Vitamin D Research Studies
- S100 Proteins and Annexins
- Neuroendocrine Tumor Research Advances
- Cancer Diagnosis and Treatment
- Pituitary Gland Disorders and Treatments
- Ovarian cancer diagnosis and treatment
- Biomarkers in Disease Mechanisms
- Soft tissue tumor case studies
- Genetic Syndromes and Imprinting
- Salivary Gland Tumors Diagnosis and Treatment
- Sympathectomy and Hyperhidrosis Treatments
- Medical Imaging and Pathology Studies
St Petersburg University
2012-2024
National Medical and Surgical Center named after N.I. Pirogov
2012
Intraoperative neuromonitoring finds widespread application in thyroid and parathyroid surgery, as a preventive method against laryngeal nerves injuries. Today it is possible to monitor the nerve function real time during an operation. In this article based on experience of 1065 operations with intraoperative neuromonitoring, we describe details procedure nerves: features anaesthesia, endotracheal tube position, algorythm trouble shooting case loss electromyographical sygnal. Besides that,...
Thyroid nodules measuring 1cm and more revealed in 27% adult inhabitants of region. Malignant tumors were diag nosed 2.9% them. There was increase the number people with territories exposed to radioactive fallout after Chernobyl accident comparison without such pollution – 57.3%/42.4% as well malignant among them (5.2%/2.7%) Comparison thyroid palpation ultrasound detection that 10 mm detected only every 10th patient by means pal pation: 11–15 4th patient, comparing data same patients’...
The amount of thyroid and parathyroid surgeries increases annually. Contemporary diagnostics such a severe complication, as larynx paresis, remains nowadays actual. main diagnostic procedure for paresis is endoscopic laryngoscopy, though it has several disadvantages: this an invasive procedure, causing discomfort to the patients, requires local anesthesia, which may lead allergy; some patients can’t endure because anatomical features. All these factors force find out similar at same time...
A modern classification distinguishes between two nosological entities posing an intermediate risk differentiated and anaplastic carcinoma: poorly thyroid carcinoma high-grade carcinoma. There are currently few studies searching for the preoperative molecular genetic markers of papillary (PTC HG), primarily because a recent WHO reclassification singling out separate entity: follicular cell-derived nonanaplastic Therefore, this work was aimed at identifying PTC HG-specific microRNAs mRNAs...
Given the yearly growth of thyroid and parathyroid surgery, diagnosis such serious complications as paresis larynx is still relevant today. Endoscopic laryngoscopy main method controlling laryngeal function. The timely detection violations this function in postoperative period allows for patients to be sent specialists quickly treatment. Nonetheless, role laryngoscopies preoperative has not been precisely recognized. contentious issue become need perform on all due undergo operations or...
Results of various surgical techniques application in primary hyperparathyroidism patients were studied. Bilateral neck exploration, unilateral selective parathyroidectomy (conventional and videoassisted) used 297 with hyperparathyroidism. the study showed high efficacy some benefits comparison bilateral exploration (reduced postoperative pain, better cosmetic result, diminished hospital stay etc.).
The purpose: an approbation of intraoperative photodynamic identification healthy and adenomatous parathyroid glands using 5-aminolevulinic acid (5-ALA) at thyroid operations.Materials methods: 5-ALA was performed in 25 patients with various diseases. 2–3 hours before the surgery have received 1,5 g per os. In 10 cases video-assisted operations were performed. 3 primary hyperparathyroidism parathyroidectomy used. other operative intervention carried out conventional technique. wound surface...
During thyroid and parathyroid operations performed with laryngeal nerves neuromonitoring, a segmental or global loss of signal may occur. The most frequent cause – is tension gland tissue at the same time nerves. There no consensus if this complication arises regarding surgeon’s actions.Aim. Evaluation predictive value during IONM larynx paresis in postoperative period, algorithm suggestion case develops.Materials methods. 1065 patients were operated on glands neuromonitoring Neuromonitore...
Aim. The aim of the current study was improvement intraoperative quick parathyroid hormone (PTH) test, enabling to receive results in a shorter period time and reduce cost comparing with existing methods. Methods. 404 consecutive patients primary hyperparathyroidism (PHPT) were included study. All patients subjected selective parathyroidectomy – by traditional or videoassisted technique. We performed two tests modified each patient. Blood taken a) before skin incision, b) cutting adenoma...
Laryngeal muscles paresis ranks second in prevalence of postoperative complications after thyroid surgery. Intraoperative neuromonitoring (IONM) recurrent laryngeal nerve (RLN) results reduction cases with dysphonia and prevents such severe complication as bilateral paresis. Currently there are two types monitoring: intermittent continual. When using IONM surgeon has no opportunity to control electrophysiology state RLN during intervals between stimulations. In case continual date on...
Objectives: to study the long-term results of surgical treatment patients with medullary thyroid carcinoma and evaluate significance prognostic factors. Materials methods: continuous retrospective included 169 histologically confirmed cancer who were initially operated at Northwestern Center for Endocrinology Endocrine Surgery SPbSU University Clinic from 2010 2016. They divided into groups according level dynamics postoperative calcitonin clinical manifestations disease. Results: The...
Searchable abstracts of presentations at key conferences in endocrinology ISSN 1470-3947 (print) | 1479-6848 (online)
Searchable abstracts of presentations at key conferences in endocrinology ISSN 1470-3947 (print) | 1479-6848 (online)
Searchable abstracts of presentations at key conferences in endocrinology ISSN 1470-3947 (print) | 1479-6848 (online)
Для того чтобы добиться значительных результатовв лечении заболеваний щитовидной железы (ЩЖ),впрочем, как и любой другой патологии, мало создать центр, оборудованный современной аппаратурой, операционной с наличием лекарственны препаратов имеющий высококвалифицированных специалистов, хотя мы полностью согласны со статьейИ.И. Дедова соавт. (2008), о целесообразности введения специальности “эндокринная хирургия”и подготовки хирургов соответствующего профиля.Необходимо внедрить систему,...
Searchable abstracts of presentations at key conferences in endocrinology ISSN 1470-3947 (print) | 1479-6848 (online)
Abstract There is still no consensus for an optimal surgical treatment of primary hyperpararthyroidism (PHPT). Virtually, most the patients could be successfully treated with selective parathyroidectomy (SPTE) based on preoperative visualization. However, this approach has a “blind area” undetected multiglandular disease (MGD). Bilateral neck exploration (BNE) may serve as reasonable alternative but it meets higher requirements technique. A retrospective cohort study was conducted in order...