Graves' disease surgery: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Graves' disease}} | {{Graves' disease}} | ||
{{CMG}} | {{CMG}},{{AE}}{{MehdiP}} | ||
==Overview== | ==Overview== | ||
== Surgery == | == Surgery == | ||
*The patients' thyroid hormone must be normalized before surgery to minimize the risk of surgery. | |||
*Treatment with inorganic iodide commencing 1 week before surgery may decrease thyroid blood flow, vascularity, and blood loss but does not otherwise influence surgical risk. | |||
*Surgery is recommended for some patients including, | |||
#Patients with large goiters | |||
#Women wishing to become pregnant shortly after treatment | |||
#Patients who want to avoid exposure to antithyroid drugs or radioiodine. | |||
*The course of ophtalmopathy is not affected by thyroidectomy. | |||
Advantages of thyroidectomy include: | |||
*Rapid euthyroidism | |||
*Extremely rare recurrence | |||
*No radiation hazard | |||
*Definitive histologic results | |||
*Rapid relief of pressure symptoms | |||
==References== | ==References== | ||
Revision as of 14:00, 21 December 2016
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Graves' disease Microchapters |
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Graves' disease surgery On the Web |
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American Roentgen Ray Society Images of Graves' disease surgery |
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Risk calculators and risk factors for Graves' disease surgery |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1],Associate Editor(s)-in-Chief: Seyedmahdi Pahlavani, M.D. [2]
Overview
Surgery
- The patients' thyroid hormone must be normalized before surgery to minimize the risk of surgery.
- Treatment with inorganic iodide commencing 1 week before surgery may decrease thyroid blood flow, vascularity, and blood loss but does not otherwise influence surgical risk.
- Surgery is recommended for some patients including,
- Patients with large goiters
- Women wishing to become pregnant shortly after treatment
- Patients who want to avoid exposure to antithyroid drugs or radioiodine.
- The course of ophtalmopathy is not affected by thyroidectomy.
Advantages of thyroidectomy include:
- Rapid euthyroidism
- Extremely rare recurrence
- No radiation hazard
- Definitive histologic results
- Rapid relief of pressure symptoms