Authors: Dionigi, Gianlorenzo; Bacuzzi, Alessandro; Bertocchi, Valentina; Carrafiello, Gianpaolo; Boni, Luigi; Rovera, Francesca; Dionigi, Renzo

Source: Expert Review of Medical Devices, Volume 5, Number 6, November 2008 , pp. 747-758(12)

Publisher: Expert Reviews

Abstract:

The history of thyroid surgery starts with Billroth, Kocher and Halsted, who developed the technique for thyroidectomy between the years of 1873 and 1910. In general the essential objectives for thyroidectomy are: sparing the parathyroid glands, avoidance of injury to the laryngeal nerves, an accurate hemostasis and an excellent cosmesis. In the last 10 years, major improvements and new technologies have been proposed and applied in thyroid surgery. These include mini-invasive thyroidectomy, new devices for achieving hemostasis and dissection, regional anesthesia, intraoperative neuromonitoring, parathyroid hormone assay technology and genetic screening. This paper reviews the relevant medical literature published on the influence of these new technologies on the quality of thyroid surgery, as well as prevention of postoperative morbidity and mortality. Searches were last updated in April 2008.

Keywords: electrothermal bipolar vessel sealing system; genetic screening; mini-invasive video-assisted thyroidectomy; neuromonitoring; PTH assay technology; regional anesthesia; total intravenous anesthesia; ultrasonic coagulating-dissection systems

Document Type: Research article

DOI: http://dx.doi.org/10.1586/17434440.5.6.747

Affiliations: 1: Associate Professor of Surgery, Director, Center of Endocrine Surgery, Department of Surgical Sciences, University of Insubria, Azienda Ospedaliero-Universitario, Fondazione Macchi, Varese, Italy., Email: gianlorenzo.dionigi@uninsubria.it

Publication date: 2008-11-01

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