Journal: Journal of Pharmacy Research

Article Id: JPRS-P'Col-00001934
Title: Analysis of the results of the surgical treatment of thyroid and parathyroid diseases
Category: Pharmacology
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    Aim: Diseases of the thyroid gland take an important place in the structure of the endocrine system’s pathology. Materials and Method: To determine the optimal tactics of the surgical treatment for various diseases of the thyroid and parathyroid glands a retrospective analysis of the results of surgical treatment of 727 patients was performed between 2014 and 2016 in the Surgical Department No 1, Belgorod Regional Clinical Hospital of St. Joasaph. Results and Discussion: Patients were admitted after an endocrinological out-patient examination with such clinical diagnoses: Nodular euthyroid goiter 371 (51%), diffuse-nodal euthyroid goiter 15 (2.1%), diffuse euthyroid goiter 2 (0.3%), diffuse toxic goiter 132 (18.2%), diffuse-nodal toxic goiter 36 (5.0%), nodal toxic goiter 97 (13.3%), autoimmune thyroiditis 9 (1.2%), thyroid cancer 33 (4.5%), recurrent goiter 27 (3.7%), and parathyroid adenoma 5 (0.7%). In all nosological groups, females have traditionally predominated. The diagnostic tests included an ultrasound of the thyroid gland, T3, T4, TSH, and, if necessary, computed tomography scan. Further, during the choose of the treatment tactic, we adhered to the principle of maximum surgical radicalism, especially in the treatment of patients with toxic and multinodular goiter forms, since unjustified leaving of thethyroid tissue can lead to the risk of the recurrence of the disease. According to the results of our work, the percentage of thyroidectomies in the past 3 years (2014–2016) was 70.1%. Conclusion: At the same time, an increase in the percentage of radical operations did not lead to a significant increase in the segment of the specific complications (injury of the recurrent laryngeal nerve-1.65%, bleeding-0.4%, hypoparathyroidism-2.5%).

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    Author(s) Name:

    Vladimir F. Kulikovsky*, Alexander V. Soloshenko, Andrei L. Iarosh, Alexander A. Karpachev, Sergei B. Nikolaev, Alexandra A. Korjova, Gnashko V. Angela, Svetlana S. Gorelik

    Affiliation(s) Name:

    Department of Hospital Surgery, Institute of Medicine, Belgorod State University, Pobeda str. 85, Belgorod, 308015, Russia

    *Corresponding author: Vladimir F. Kulikovsky, Honored Doctor of the Russian Federation, Institute of Medicine, Belgorod State University, Pobeda str. 85, Belgorod, 308015, Russia.

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    Author:

    Vladimir F. Kulikovsky*, Alexander V. Soloshenko, Andrei L. Iarosh, Alexander A. Karpachev, Sergei B. Nikolaev, Alexandra A. Korjova, Gnashko V. Angela, Svetlana S. Gorelik

    Title:Analysis of the results of the surgical treatment of thyroid and parathyroid diseases
    Journal:Journal of Pharmacy Research
    Vol(issue):11 (December )
    Year:2017
    Page No: (1556-1558)
  • Experimental Methods Keywords

    Methodology:Surgical treatment
    Research Materials:Thyroid gland ,Parathyroid glands

Keywords

Parathyroid glands Surgical treatment Thyroid gland

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