Segurança na cirurgia da tiróide: neuromonitorização e selagem vascular
Introduction: Thyroid surgery carries significant risks and complications such as recurrent laryngeal nerve paralysis and postoperative suffocating hematoma. The most recent advancement providing safety is intraoperative neuromonitoring (IONM) of the recurrent laryngeal nerve (RLN) and the advances...
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| Format: | Article |
| Language: | English |
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Portuguese Society of Otolaryngology and Head and Neck Surgery
2024-06-01
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| Series: | Revista Portuguesa Otorrinolaringologia e Cirurgia de Cabeça e Pescoço |
| Online Access: | https://journalsporl.com/index.php/sporl/article/view/2167 |
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| author | Luis Miguel Torres Morientes Eduardo Tamayo Gómez Liliana Filipa Invencio da Costa Marta Alonso Mesonero María San Millán González Jaime Santos Pérez |
| author_facet | Luis Miguel Torres Morientes Eduardo Tamayo Gómez Liliana Filipa Invencio da Costa Marta Alonso Mesonero María San Millán González Jaime Santos Pérez |
| author_sort | Luis Miguel Torres Morientes |
| collection | DOAJ |
| description | Introduction: Thyroid surgery carries significant risks and complications such as recurrent laryngeal nerve paralysis and postoperative suffocating hematoma. The most recent advancement providing safety is intraoperative neuromonitoring (IONM) of the recurrent laryngeal nerve (RLN) and the advances in hemostasis systems.
Objective: The main objective of the study was to explore our experience regarding safety measures and the reduction of complications in thyroid surgery.
Materials and Methods: We present a review of 400 neck surgeries performed by the same surgeon, from September 2011 to February 2020. The main variables studied were intraoperative neuromonitoring (IONM) of the recurrent laryngeal nerve and vascular sealing hemostasis systems.
Results: Out of the total 400 patients, a total of 625 RLNs were studied, using IONM. Thirteen unilateral vocal cord paralyses were recorded, 8 of which were temporary and only 5 definitive. The predominant hemostasis system utilized was the vascular sealing system and bipolar clamp 87%, and in 13%, ligation of a thyroid artery. Only 1 patient experienced postoperative hemorrhage, which was resolved without incidents.
Conclusions: Intermittent intraoperative neuromonitoring of the RLN and advances in hemostasis systems have proven to be valuable in thyroid surgery, improving safety and saving surgical time. |
| format | Article |
| id | doaj-art-9af87253edfc41c984937447a5e04e2a |
| institution | DOAJ |
| issn | 2184-6499 |
| language | English |
| publishDate | 2024-06-01 |
| publisher | Portuguese Society of Otolaryngology and Head and Neck Surgery |
| record_format | Article |
| series | Revista Portuguesa Otorrinolaringologia e Cirurgia de Cabeça e Pescoço |
| spelling | doaj-art-9af87253edfc41c984937447a5e04e2a2025-08-20T03:16:28ZengPortuguese Society of Otolaryngology and Head and Neck SurgeryRevista Portuguesa Otorrinolaringologia e Cirurgia de Cabeça e Pescoço2184-64992024-06-0162210.34631/sporl.2167Segurança na cirurgia da tiróide: neuromonitorização e selagem vascularLuis Miguel Torres Morientes0Eduardo Tamayo Gómez1Liliana Filipa Invencio da Costa2Marta Alonso Mesonero3María San Millán González4Jaime Santos Pérez5ENT Department Clinical University Hospital of Valladolid, SpainDepartment of Anesthesiology and Critical Care, Clinical University Hospital of Valladolid, Valladolid, Spain; Department of Surgery, Faculty of Medicine, University of Valladolid, Valladolid, Spain; BioCritic, Biomedical Research Group in Critical Care, Valladolid, Spain; Biomedical Research Networking Centre on Infectious Diseases (CIBERINFEC), Carlos III Health Institute, Madrid, SpainENT Department Clinical University Hospital of Valladolid, SpainENT Department Clinical University Hospital of Valladolid, SpainENT Department Clinical University Hospital of Valladolid, SpainENT Department Clinical University Hospital of Valladolid, SpainIntroduction: Thyroid surgery carries significant risks and complications such as recurrent laryngeal nerve paralysis and postoperative suffocating hematoma. The most recent advancement providing safety is intraoperative neuromonitoring (IONM) of the recurrent laryngeal nerve (RLN) and the advances in hemostasis systems. Objective: The main objective of the study was to explore our experience regarding safety measures and the reduction of complications in thyroid surgery. Materials and Methods: We present a review of 400 neck surgeries performed by the same surgeon, from September 2011 to February 2020. The main variables studied were intraoperative neuromonitoring (IONM) of the recurrent laryngeal nerve and vascular sealing hemostasis systems. Results: Out of the total 400 patients, a total of 625 RLNs were studied, using IONM. Thirteen unilateral vocal cord paralyses were recorded, 8 of which were temporary and only 5 definitive. The predominant hemostasis system utilized was the vascular sealing system and bipolar clamp 87%, and in 13%, ligation of a thyroid artery. Only 1 patient experienced postoperative hemorrhage, which was resolved without incidents. Conclusions: Intermittent intraoperative neuromonitoring of the RLN and advances in hemostasis systems have proven to be valuable in thyroid surgery, improving safety and saving surgical time.https://journalsporl.com/index.php/sporl/article/view/2167 |
| spellingShingle | Luis Miguel Torres Morientes Eduardo Tamayo Gómez Liliana Filipa Invencio da Costa Marta Alonso Mesonero María San Millán González Jaime Santos Pérez Segurança na cirurgia da tiróide: neuromonitorização e selagem vascular Revista Portuguesa Otorrinolaringologia e Cirurgia de Cabeça e Pescoço |
| title | Segurança na cirurgia da tiróide: neuromonitorização e selagem vascular |
| title_full | Segurança na cirurgia da tiróide: neuromonitorização e selagem vascular |
| title_fullStr | Segurança na cirurgia da tiróide: neuromonitorização e selagem vascular |
| title_full_unstemmed | Segurança na cirurgia da tiróide: neuromonitorização e selagem vascular |
| title_short | Segurança na cirurgia da tiróide: neuromonitorização e selagem vascular |
| title_sort | seguranca na cirurgia da tiroide neuromonitorizacao e selagem vascular |
| url | https://journalsporl.com/index.php/sporl/article/view/2167 |
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