Peculiarities of surgical treatment of cervico-mediastinal goiter

Objective. To analyze a surgical tactics and a component of operative interventions, performed for goiter of cervico-mediastinal localization; to formulate the operative technique peculiarities, which give positive effect. Materials and methods. Into the investigation the materials of clinical wo...

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Main Authors: O. P. Kovalov, V. І. Liakhovskyi, O. M. Liulka, І. І. Nemchenko, A. V. Sydorenko
Format: Article
Language:English
Published: Liga-Inform ltd. 2021-10-01
Series:Клінічна хірургія
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Online Access:https://hirurgiya.com.ua/index.php/journal/article/view/942
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author O. P. Kovalov
V. І. Liakhovskyi
O. M. Liulka
І. І. Nemchenko
A. V. Sydorenko
author_facet O. P. Kovalov
V. І. Liakhovskyi
O. M. Liulka
І. І. Nemchenko
A. V. Sydorenko
author_sort O. P. Kovalov
collection DOAJ
description Objective. To analyze a surgical tactics and a component of operative interventions, performed for goiter of cervico-mediastinal localization; to formulate the operative technique peculiarities, which give positive effect. Materials and methods. Into the investigation the materials of clinical work in 2005 - 2019 yrs were incorporated of Department of Surgery No 2 of the Second Municipal Clinical Hospital of Poltava City, which constitutes a base of the Department of Surgery No 1 of Ukrainian Medical Stomatological Academy. There were analyzed the results of surgical treatment of 530 patients, suffering various forms of goiter. Results. Basing on data of complex clinic-instrumental and cytological investigations several tactically different operative interventions were performed, the content of which was directly dependent on anatomic peculiarities present. In 155 patients a cervico-mediastinal goiter was present. Conclusion. In big mediastinal goiter a severe operative situation occurs, necessitating nonstandard surgical decisions making. That is why the neck surgical access of the authors own in accordance to Kocher method was proposed. Extrafascial procedures may prevent some iatrogenic complications.
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institution Kabale University
issn 0023-2130
2522-1396
language English
publishDate 2021-10-01
publisher Liga-Inform ltd.
record_format Article
series Клінічна хірургія
spelling doaj-art-8b1650c994fc4dbabb0a4524c9d7d4592025-08-20T03:35:23ZengLiga-Inform ltd.Клінічна хірургія0023-21302522-13962021-10-01885-6566010.26779/2522-1396.2021.5-6.56942Peculiarities of surgical treatment of cervico-mediastinal goiterO. P. Kovalov0V. І. Liakhovskyi1O. M. Liulka2І. І. Nemchenko3A. V. Sydorenko4Poltava State Medical UniversityPoltava State Medical UniversityPoltava State Medical UniversityPoltava State Medical UniversityPoltava State Medical UniversityObjective. To analyze a surgical tactics and a component of operative interventions, performed for goiter of cervico-mediastinal localization; to formulate the operative technique peculiarities, which give positive effect. Materials and methods. Into the investigation the materials of clinical work in 2005 - 2019 yrs were incorporated of Department of Surgery No 2 of the Second Municipal Clinical Hospital of Poltava City, which constitutes a base of the Department of Surgery No 1 of Ukrainian Medical Stomatological Academy. There were analyzed the results of surgical treatment of 530 patients, suffering various forms of goiter. Results. Basing on data of complex clinic-instrumental and cytological investigations several tactically different operative interventions were performed, the content of which was directly dependent on anatomic peculiarities present. In 155 patients a cervico-mediastinal goiter was present. Conclusion. In big mediastinal goiter a severe operative situation occurs, necessitating nonstandard surgical decisions making. That is why the neck surgical access of the authors own in accordance to Kocher method was proposed. Extrafascial procedures may prevent some iatrogenic complications.https://hirurgiya.com.ua/index.php/journal/article/view/942thyroid gland; nodal goiter; big goiter; compressive syndrome; surgical treatment.
spellingShingle O. P. Kovalov
V. І. Liakhovskyi
O. M. Liulka
І. І. Nemchenko
A. V. Sydorenko
Peculiarities of surgical treatment of cervico-mediastinal goiter
Клінічна хірургія
thyroid gland; nodal goiter; big goiter; compressive syndrome; surgical treatment.
title Peculiarities of surgical treatment of cervico-mediastinal goiter
title_full Peculiarities of surgical treatment of cervico-mediastinal goiter
title_fullStr Peculiarities of surgical treatment of cervico-mediastinal goiter
title_full_unstemmed Peculiarities of surgical treatment of cervico-mediastinal goiter
title_short Peculiarities of surgical treatment of cervico-mediastinal goiter
title_sort peculiarities of surgical treatment of cervico mediastinal goiter
topic thyroid gland; nodal goiter; big goiter; compressive syndrome; surgical treatment.
url https://hirurgiya.com.ua/index.php/journal/article/view/942
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AT víliakhovskyi peculiaritiesofsurgicaltreatmentofcervicomediastinalgoiter
AT omliulka peculiaritiesofsurgicaltreatmentofcervicomediastinalgoiter
AT íínemchenko peculiaritiesofsurgicaltreatmentofcervicomediastinalgoiter
AT avsydorenko peculiaritiesofsurgicaltreatmentofcervicomediastinalgoiter