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Endocrine surgery is a surgical sub-speciality focusing on surgery of the endocrine glands, including the thyroid gland, the parathyroid glands, the adrenal glands, glands of the endocrine pancreas, and some neuroendocrine glands.[1]
Surgery of the thyroid gland constitutes the bulk of endocrine surgical procedures worldwide. This may be done for a variety of conditions, help ranging from benign multinodular goiter to thyroid cancer. In the United Kingdom it was developed as a separate specialty from general surgery by Richard Welbourne and John Lynn, surgeons at what was then the 'Royal Postgraduate Medical School' and is now the Hammersmith Hospital and contains the Department of Thyroid and Endocrine Surgery staffed by consultant surgeons Professor Fausto Palazzo, Professor Neil Tolley and Miss Aimee Di Marco. Operations involve removal of the thyroid gland (thyroidectomy) either as a part of the gland (lobectomy or hemithyroidectomy), or the whole gland (total thyroidectomy). Incomplete resections (sub-total or near total thyroidectomy) are also infrequently performed, but are disfavored by most surgeons[citation needed].
Parathyroid surgeryedit
Removal of the parathyroid gland(s) is referred to as parathyroidectomy and is most commonly performed for primary hyperparathyroidism. Parathyroidectomy is also performed to treat tertiary hyperparathyroidism arising from chronic kidney failure.
Diseases of the endocrine pancreas occur very infrequently; these include insulinomas, gastrinomas etc. Surgery for these conditions range from simple tumor enucleation to more larger resections.
Endocrine surgery is generally well developed. Endocrine surgery has developed as a sub-specialty surgical category because of the technical nature of these operations and the associated risks of operating in the neck. In Surgery: Basic Science and Clinical Evidence, the book the efficacy prior research:[2]
Surgeons and physicians have advanced endocrine surgery by careful description of unusual patients and families with endocrine syndromes...Surgeons have also improved techniques for preparation for surgery and methods...
— Norton, Barie, Bollinger, et al.
In the 1970s, a specialty training program at Hammersmith Hospital was the primary location for early work in training a large number of surgeons.[3] It is well established that complications are much less common if performed by surgeons who do at least 100 thyroid operations per year. In the United Kingdom most thyroid surgery is performed by surgeons doing less than 20 thyroid operations per year.[citation needed] Permanent damage to both voice box nerves is an extreme rarity and needs in most cases a permanent tracheostomy. Data on the outcomes of all surgeons performing endocrine surgery in the UK is publicly available via the 'British Association of Endocrine and Thyroid Surgeons' website.
Techniqueedit
Thyroid surgeryedit
Some surgical teams leave wound drains in place after surgery to the thyroid gland.[4] There is no strong evidence that wound drains improve outcomes following surgery and there is low-quality evidence that wound drains increase the length of time a person stays in the hospital following thyroid surgery.[4]
^Jeffrey A. Norton; Philip S. Barie; Randall Bollinger (2008). Surgery: basic science and clinical evidence. Springer. pp. 1186–. ISBN978-0-387-30800-5. Retrieved 13 July 2011.
^ abSamraj, K.; Gurusamy, K. S. (2007-10-17). "Wound drains following thyroid surgery". The Cochrane Database of Systematic Reviews. 2010 (4): CD006099. doi:10.1002/14651858.CD006099.pub2. ISSN 1469-493X. PMC8991700. PMID 17943885.
December 07, 2023
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This article needs more reliable medical references for verification or relies too heavily on primary sources Please review the contents of the article and add the appropriate references if you can Unsourced or poorly sourced material may be challenged and removed Find sources Endocrine surgery news newspapers books scholar JSTOR February 2022 Endocrine surgery is a surgical sub speciality focusing on surgery of the endocrine glands including the thyroid gland the parathyroid glands the adrenal glands glands of the endocrine pancreas and some neuroendocrine glands 1 Endocrine surgeryAdrenalectomyICD 10 PCS0GICD 9 CM06 07MeSHD013507OPS 301 code5 06 5 07 edit on Wikidata Contents 1 Types 1 1 Thyroid surgery 1 2 Parathyroid surgery 1 3 Adrenal surgery 1 4 Pancreatic surgery 2 Development 3 Technique 3 1 Thyroid surgery 4 ReferencesTypes editThyroid surgery edit Surgery of the thyroid gland constitutes the bulk of endocrine surgical procedures worldwide This may be done for a variety of conditions help ranging from benign multinodular goiter to thyroid cancer In the United Kingdom it was developed as a separate specialty from general surgery by Richard Welbourne and John Lynn surgeons at what was then the Royal Postgraduate Medical School and is now the Hammersmith Hospital and contains the Department of Thyroid and Endocrine Surgery staffed by consultant surgeons Professor Fausto Palazzo Professor Neil Tolley and Miss Aimee Di Marco Operations involve removal of the thyroid gland thyroidectomy either as a part of the gland lobectomy or hemithyroidectomy or the whole gland total thyroidectomy Incomplete resections sub total or near total thyroidectomy are also infrequently performed but are disfavored by most surgeons citation needed Parathyroid surgery edit Removal of the parathyroid gland s is referred to as parathyroidectomy and is most commonly performed for primary hyperparathyroidism Parathyroidectomy is also performed to treat tertiary hyperparathyroidism arising from chronic kidney failure Adrenal surgery edit Adrenalectomy the surgical removal of the adrenal gland is performed to treat conditions including Conn syndrome pheochromocytoma and adreno cortical cancer Pancreatic surgery edit Diseases of the endocrine pancreas occur very infrequently these include insulinomas gastrinomas etc Surgery for these conditions range from simple tumor enucleation to more larger resections Development editThis article relies excessively on references to primary sources Please improve this article by adding secondary or tertiary sources Find sources Endocrine surgery news newspapers books scholar JSTOR January 2019 Learn how and when to remove this template message Endocrine surgery is generally well developed Endocrine surgery has developed as a sub specialty surgical category because of the technical nature of these operations and the associated risks of operating in the neck In Surgery Basic Science and Clinical Evidence the book the efficacy prior research 2 Surgeons and physicians have advanced endocrine surgery by careful description of unusual patients and families with endocrine syndromes Surgeons have also improved techniques for preparation for surgery and methods Norton Barie Bollinger et al In the 1970s a specialty training program at Hammersmith Hospital was the primary location for early work in training a large number of surgeons 3 It is well established that complications are much less common if performed by surgeons who do at least 100 thyroid operations per year In the United Kingdom most thyroid surgery is performed by surgeons doing less than 20 thyroid operations per year citation needed Permanent damage to both voice box nerves is an extreme rarity and needs in most cases a permanent tracheostomy Data on the outcomes of all surgeons performing endocrine surgery in the UK is publicly available via the British Association of Endocrine and Thyroid Surgeons website Technique editThyroid surgery edit Some surgical teams leave wound drains in place after surgery to the thyroid gland 4 There is no strong evidence that wound drains improve outcomes following surgery and there is low quality evidence that wound drains increase the length of time a person stays in the hospital following thyroid surgery 4 References edit Endocrine Surgery www endocrinesurgeons org au Retrieved 2016 05 17 Jeffrey A Norton Philip S Barie Randall Bollinger 2008 Surgery basic science and clinical evidence Springer pp 1186 ISBN 978 0 387 30800 5 Retrieved 13 July 2011 Thyroid Parathyroid Adrenal Endocrine Surgery Mr John Lynn Endocrine Surgeon www endocrinesurgeon co uk Retrieved 2019 01 01 a b Samraj K Gurusamy K S 2007 10 17 Wound drains following thyroid surgery The Cochrane Database of Systematic Reviews 2010 4 CD006099 doi 10 1002 14651858 CD006099 pub2 ISSN 1469 493X PMC 8991700 PMID 17943885 Retrieved from https en wikipedia org w index php title Endocrine surgery amp oldid 1165822265, wikipedia, wiki, 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