Editorial: Recent Advances in Thyroid Surgery

Scerrino, Grégorio; Richiusa, Pierina; Graceffa, Giuseppa; Lori, Eleonora; Sorrenti, Salvatore; Paladino, Nunzia Cinzia

doi:10.3390/jcm11237233

Cited by 3 publications

(2 citation statements)

References 23 publications

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“…With the advent of modern surgery, in addition to traditional hemostasis, which is performed by tying vessels with sutures or with metal clips or absorbable materials, new techniques and devices for controlling bleeding have been introduced. These new surgical techniques adopt innovative technological tools based on mechanical hemostasis systems, conventional mono-and bipolar electrosurgery systems, and radiofrequency and ultrasound systems [13][14][15].…”

Section: Introductionmentioning

confidence: 99%

US Evaluation of Topical Hemostatic Agents in Post-Thyroidectomy

Dolcetti

Lori

Fresilli

et al. 2023

Cancers

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Background: the aim of this study was to describe the ultrasound appearance of topical hemostatics after thyroidectomy. Methods: we enrolled 84 patients who were undergoing thyroid surgery and were treated with two types of topical hemostats, 49 with an absorbable hemostat of oxidized regenerated cellulose (Oxitamp®) and 35 with a fibrin glue-based hemostat (Tisseel®). All patients were examined using B-mode ultrasound. Results: In 39 patients of the first group (approximately 80%), a hemostatic residue was detected and in some cases confused with a native gland residue, or with cancer recurrence in oncological patients. No residue was detected in patients in the second group. The main ultrasound characteristics of the tampon were analyzed and arranged according to predefined patterns, and suggestions to recognize it and avoid wrong diagnoses were provided. A part of the group of patients with tampon residue was re-evaluated after 6–12 months, ensuring that the swab remained for months after the maximum resorption time declared by the manufacturer. Conclusions: with equal hemostatic effectiveness, the fibrin glue pad is more favorable in the ultrasound follow-up because it creates reduced surgical outcomes. It is also important to know and recognize the ultrasound characteristics of oxidized cellulose-based hemostats in order to reduce the number of diagnostic errors and inappropriate diagnostic investigations.

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Section: Introductionmentioning

confidence: 99%

US Evaluation of Topical Hemostatic Agents in Post-Thyroidectomy

Dolcetti

Lori

Fresilli

et al. 2023

Cancers

Self Cite

View full text Add to dashboard Cite

show abstract

“…The advancements in thyroid surgery primarily focus on surgical techniques, aiming to guarantee oncological radicality while achieving excellent aesthetic results and minimizing post-operative complications [ 4 ]. Several risk stratification systems, such as the American Thyroid Association (ATA) guidelines, assist in determining the optimal treatment approach [ 3 ].…”

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confidence: 99%