Mortality after thyroid surgery, insignificant or still an issue?

Gómez-Ramírez, Joaquín; Sitges‐Serra, Antonio; Llorente, Pablo Moreno; Zambudio, Antonio Ríos; Serrano, José Antonio Martínez; Rodríguez, María Teresa Gutiérrez; Moral, Jesús María Villar del

doi:10.1007/s00423-015-1303-1

Cited by 35 publications

(18 citation statements)

References 21 publications

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“…[5][6][7] Complications in thyroid surgery can be reduced by proper anatomical knowledge of the neck and using precise surgical technique. 8,9 In the last 40 years there are only a few publications in the literature about the use of microsurgery in thyroid surgery, and all emphasize the concept that microsurgery improves surgical results especially in reinterventions and in lymphadenectomy.…”

mentioning

confidence: 99%

Use of optical magnification and microsurgical technique in general surgery

Orazi¹,

Ortensi²

2017

AMJ

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mentioning

confidence: 99%

Use of optical magnification and microsurgical technique in general surgery

Orazi¹,

Ortensi²

2017

AMJ

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“…Its incidence and mortality has not been described in the literature. To date, there are only 11 cases of GAS infection after thyroidectomy reported in the literature (Table 1) [1,[10][11][12][13][14][15], and many of these cases were complicated by septic shock and death despite early systemic antibiotic treatment. However, there are no cases with GAS infection secondary to tracheal perforation, as we present here.…”

Section: Discussionmentioning

confidence: 99%

“…T he overall complication rate after thyroid surgery is less than 5%, which is primarily associated with airway complications in big goiters. A recent publication showed that mortality after thyroidectomy is 0.06%, and only 10% is caused by sepsis [1].…”

mentioning

confidence: 99%

Streptococcal Toxic Shock Syndrome after Thyroid Lobectomy: Case Report and Literature Review

TogoresPatricia

Gómez-RamírezJoaquín

SillaIrene

et al. 2016

Surgical Infections Case Reports

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Background: Group A streptococcal (GAS) infection after thyroid surgery is a rare occurrence. Its incidence has not been described in the literature. Methods: This report presents an overview of streptococcal toxic shock syndrome in order to improve the management of the condition and the patient outcome. Results: A case of GAS toxis shock syndrome secondary to a inadvertent tracheal perforation during a thyroidectomy is presented. Conclusion: Rapid and thorough diagnosis is essential and all surgeons must have a high index of suspicion for this rare but concerning disease.

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“…Thyroid surgery is considered a relatively safe procedure (mortality rate: 0.065%) [5]. However, various complications are associated with neck dissections.…”

Section: Discussionmentioning

confidence: 99%

Iatrogenic common carotid artery rupture during neck surgery rescued using covered stent - A case report -

et al. 2018

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The brain, which is highly vulnerable to ischemia, receives its blood supply from the internal carotid arteries (ICAs) and vertebral arteries. Within the cranial vault, the terminal branches of these arteries form an anastomotic circle, called the Circle of Willis. However, hypoplasia of these circles is common (24%), especially in the posterior communicating artery, which was the most frequent artery found to be hy- Carotid artery rupture is not a common complication during neck surgery, but it does occur in several patients.We present a case of successful rescue after iatrogenic CCA rupture during metastatic lymph node dissection of thyroid papillary carcinoma. After moving the patient from the operating room to the interventional radiologic suite, the exposed artery was repaired using a covered stent. CASE REPORTA 31-year-old man who was 171 cm tall and weighed 85 kg -0003-1964-4546 Carotid artery rupture during head and neck surgery is a catastrophic, life-threatening emergency. Although recent incidence has declined, it still occurs in many patients. Hemorrhage from the carotid artery is usually massive and uncontrollable. Fast, aggressive treatment to prevent hemodynamic instability is required. Even if patients survive this event, they may experience severe neurological sequelae. A ruptured carotid artery is usually controlled by direct compression and arterial ligation. However, apart from the inherent difficulty of operation, these traditional surgical treatments are associated with high morbidity and mortality. In the past two decades, endovascular management has become a mainstay of carotid rupture treatment. We report a case of successful recovery without any sequelae after cardiovascular collapse due to an unintentional common carotid artery (CCA) rupture during neck surgery. The exposed CCA was treated with a covered stent. In such a case, multidisciplinary cooperation is crucial.

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Mortality after thyroid surgery, insignificant or still an issue?

Abstract: Death after thyroidectomy is very uncommon, and most often results from a combination of advanced age, giant goiters, and upper airway complications.

Cited by 35 publications

References 21 publications

Use of optical magnification and microsurgical technique in general surgery

Use of optical magnification and microsurgical technique in general surgery

Streptococcal Toxic Shock Syndrome after Thyroid Lobectomy: Case Report and Literature Review

Iatrogenic common carotid artery rupture during neck surgery rescued using covered stent - A case report -

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