scholarly journals Historical review of the thyroid gland surgery

2003 ◽  
Vol 50 (3) ◽  
pp. 9-36 ◽  
Author(s):  
Mile Ignjatovic
Keyword(s):  
Thyroid Gland ◽  
Nobel Prize ◽  
Thyroid Surgery ◽  
Multidisciplinary Approach ◽  
Historical Review ◽  
Surgical Skills ◽  
Scientific Level ◽  
Thyroid Gland Surgery ◽  
Theodor Kocher ◽  
Xix Century

Thyroid gland surgery passed through history from the suggestions for prohibition, during middle of XIX century due to unacceptable mortality even for mediaeval conditions, to highest level of surgical art later, as W. Halsted sad. First thyreoidectomy was done by Albucasis (El Zahrawi) in 925 A.D, and after him by Roger from Salerno. While Pierre-Joseph Desault in 1791 has done first operation on thyroid gland that can fulfill today?s criteria, Theodor Billroth gave scientific grounds of thyroid surgery. Genius attitude and surgical talent of Theodor Kocher raised thyroid surgery on scientific level, brought surgical skills on the top of surgical art pyramid, and brought him personally to the Nobel Prize in 1909. Very important contribution to development of thyroid surgery gave its giants: Johann von Mikulicz, William Halsted, Charles Mayo, George W. Crile and Frank Lahey. Thomas P. Dunhill, F. A. Coller, A. M. Boyden, and many others did important contribution, too. Development of thyroid surgery was constant to nowadays, with tendention for multidisciplinary approach in specialized centers. Thyroid surgery in Serbia followed this world trends, in spite of great problems in this area during history.

scholarly journals Current concepts in thyroid gland surgery: transoral endoscopic and robotic surgical procedures

2021 ◽  
Vol 64 (3) ◽  
pp. 208-213
Author(s):  
Jun-Ook Park
Keyword(s):  
Thyroid Cancer ◽  
Thyroid Gland ◽  
Surgical Procedures ◽  
Thyroid Surgery ◽  
Skin Incision ◽  
Endoscopic Surgical Procedures ◽  
Young Females ◽  
Endoscopic Thyroid Surgery ◽  
Cosmetic Outcomes ◽  
Thyroid Gland Surgery

The increased incidence of thyroid cancer in young females may raise concerns about visible hypertrophic scarring on the center of the neck after thyroid gland surgery. Therefore, endoscopic surgical procedures have attracted significant interest from patients with thyroid cancer, leading to the development of various endoscopic and robotic approaches. Although the cosmetic outcomes of current endoscopic and robotic thyroid surgeries have been excellent, all the procedures still require a large incision and extensive flap elevation. Transoral endoscopic thyroid surgery is a newly developed surgical method performed by inserting an endoscope through a mucosal opening created in the mouth, obviating the need for a skin incision. Additionally, the dissection area is relatively small and no dressings are required. Showering or shaving may resume the day after surgery and the port created within the oral mucous membrane generally heals within one week. Importantly, this approach is markedly less invasive than other endoscopic approaches. Although transoral endoscopic thyroid surgery has not yet been universally accepted, it may emerge as the preferred method for thyroid surgery in the near future.

Hypothyroidism Talking Points 2006

2006 ◽  
Vol 00 (02) ◽  
Author(s):  
Jeffrey R Garber
Keyword(s):  
Thyroid Gland ◽  
Clinical Features ◽  
Nobel Prize ◽  
Thyroid Tissue ◽  
Thyroid Extract ◽  
Endemic Cretinism ◽  
One Year ◽  
Emil Theodor Kocher ◽  
Theodor Kocher

In 1603 Paracelsus described endemic cretinism. Over 150 years later, in 1878, Ord proposed the term myxedema to describe the clinical features of the “‘cretinoid’ affection occasionally observed in middleaged women”. In 1883, Emil Theodor Kocher reported myxedema after thyroidectomy. This led to a 1909 Nobel Prize in Medicine “for his work on the physiology, pathology and surgery of the thyroid gland.” Modern endocrinology’s birth followed in 1891 when Murray injected sheep thyroid extract into a patient with myxedema. Just one year later injection was replaced by “eating ground or fried sheep thyroid or tablets of dried thyroid tissue.”

scholarly journals Emil Theodor Kocher (1841-1917): Orthopaedic surgeon and the first surgeon Nobel Prize winner

2013 ◽  
Vol 60 (3) ◽  
pp. 7-11 ◽  
Author(s):  
Marko Bumbasirevic ◽  
Slavisa Zagorac ◽  
Aleksandar Lesic
Keyword(s):  
Nobel Prize ◽  
Nobel Prize Winner ◽  
Endocrine Surgery ◽  
New Approach ◽  
Shoulder Joints ◽  
Many Instruments ◽  
History Of ◽  
Thyroid Gland Surgery ◽  
Emil Theodor Kocher ◽  
Theodor Kocher

Theodor Emil Kocher (1841-1917) was born in Bern and educated in several universities in Europe. Like many surgeons of that time, Kocher performed orthopaedic surgery, general surgery, neurosurgery and endocrine surgery and became famous in many fields. He is remembered for his description of a new approach to the hip joint and elbow joint, as well as a maneuver for reduction of dislocated shoulder joints. He introduced many instruments and some of them, such as the Kocher clamp are still in use. His most important contribution was thyroid gland surgery, and he received the Nobel Prize for Medicine in 1909, for this advancement. He was a scientific, hard working meticulous surgeon, dedicated to his patients and students, which found him a place in the history of medicine.

scholarly journals Spectrum of hypocalcaemia after thyroid surgery in Dhaka Medical College Hospital

2019 ◽  
Vol 47 (1) ◽  
pp. 1-5
Author(s):  
Anup Kumar Chowdhury ◽  
Abu Yusuf Fakir ◽  
Md Nazmul Islam ◽  
Syed AM Asfarul Abedin ◽  
Mohammad Shaharior Arafat ◽  
...  
Keyword(s):  
Thyroid Gland ◽  
Thyroid Surgery ◽  
Critical Time ◽  
Structured Interview ◽  
Medical College Hospital ◽  
Thyroid Disorder ◽  
College Hospital ◽  
Female Ratio ◽  
Medical College ◽  
Thyroid Gland Surgery

Hypocalcaemia is not a uncommon complication after thyroid gland surgery. The extent of surgery and expertise are the vital factors to determine the spectrum of hypocalcaemia. This study was done to observe the spectrum of hypocalcaemia after different extent of thyroid gland surgery. A total of 70 consecutive patients were enrolled in the study by purposive sampling who received treatment for thyroid disorder in department of ENT and Head Neck Surgery, Dhaka Medical College Hospital, Dhaka, Bangladesh. They underwent different extent of thyroid surgery from January, 2017 to June, 2017. A prospective study was conducted for this 6 months period. A pre-structured, interview and observation based, peer reviewed data collection sheet was prepared. Data regarding sociodemographic, clinical, surgical and outcome profile were recorded. Data were compiled, edited and analyzed with SPSS version 23. Data were presented as mean and standard deviation, frequency percentage and median with range. The mean age of the respondents was 46.79±6.79 years (age range: 36-73 years.). Male to female ratio was 1:2.3. All the patients underwent total, near total, subtotal and completion thyroidectomy. 35(50%) and 28 (40%) patients underwent surgery due to papillary thyroid carcinoma and multinodular goiter respectively. Total of 30 patients developed hypocalcaemia. Among them, 22(73.33%) developed asymptomatic or mild hypocalcaemia which subsequently developed symptomatic hypocalcaemia (26.67%). Out of these 30 patients,15(50%) and 10 (33.33%) patients developed hypocalcaemia  intraoperative (20 minutes after surgery) and after 24 hours after surgery respectively. Serum calcium level significantly decreases after total thyroidectomy and most critical time is the first 24 hours of post thyroidectomy period. Bangladesh Med J. 2018 Jan; 47 (1): 1-5

scholarly journals On the 180th anniversary of Emil Theodor Kocher, a Swiss thyroid surgeon

2021 ◽  
Vol 17 (3) ◽  
pp. 27-31
Author(s):  
A. A. Tulsky ◽  
E. M. Demina
Keyword(s):  
Thyroid Gland ◽  
Mortality Rate ◽  
Total Thyroidectomy ◽  
Nobel Prize ◽  
Modern Medicine ◽  
Doctor Who ◽  
Surgical Methods ◽  
Methods And Techniques ◽  
Emil Theodor Kocher ◽  
Theodor Kocher

August 25, 2021 marks the 180th anniversary of the birth of the renowned physician Emil Theodor Kocher. He was a man whose talent has manifested itself in various fields of medicine. Nowadays it is impossible to imagine a doctor who does not know the name of Kocher, because he is the author of many surgical methods and techniques that are still valid, despite advances in modern medicine. Furthermore, some of the instruments designed by Kocher are still used in surgery. In addition to the biography of Kocher, this article considers information about his work in the field of thyroidology, for which he received the Nobel Prize in 1909. Kocher has performed more than 5,000 thyroidectomies during his career. Thanks to the technique he developed, the mortality rate of that surgery decreased at least fortyfold. In those days there were not researches on functions of the thyroid gland, but Kocher noticed that total thyroidectomy leads to serious consequences. Therefore he refused to do such surgeries without invariable indications.

scholarly journals Emil Theodor Kocher: an innovator surgeon.

1969 ◽  
Vol 40 (2) ◽  
pp. 231-234
Author(s):  
María Liliana Franco ◽  
Natalia Acosta ◽  
Lilian Chuaire
Keyword(s):  
Twentieth Century ◽  
Thyroid Gland ◽  
Scientific Community ◽  
Early Twentieth Century ◽  
The World ◽  
Emil Theodor Kocher ◽  
Theodor Kocher

Emil Theodor Kocher is considered along with Frank Lahey, Theodor Billroth, William Halsted, Charles Mayo, George Crile and Thomas Dunhill as one of the «Magnificent Seven», referring to the group of surgeons who managed thyroidectomy to make it a safe and efficient intervention that it is now practiced throughout the world. He was author of numerous contributions towards medicine. One of his most important contributions was to elucidate the function of the thyroid gland, through the observation and study of thyroidectomyzed patients, for which he was recognized by the academic and scientific community during the early twentieth century.

Factors Related to Nerve Injury and Hypocalcemia in Thyroid Gland Surgery

2001 ◽  
Vol 124 (1) ◽  
pp. 111-114 ◽  
Author(s):  
M. P. Prim ◽  
J. I. DE Diego ◽  
D. Hardisson ◽  
R. Madero ◽  
J. Gavilan
Keyword(s):  
Thyroid Gland ◽  
Nerve Injury ◽  
Thyroid Gland Surgery

scholarly journals Tribute to Theodor Kocher: Far Beyond an Anatomical Reference

2020 ◽  
Vol 39 (03) ◽  
pp. 192-196
Author(s):  
Angelo L. Maset ◽  
Dionei Freitas de Morais ◽  
Sérgio Ivo Calzolari
Keyword(s):  
Present Article ◽  
Nobel Prize ◽  
Surgical Instruments ◽  
General Surgeon ◽  
Medical Field ◽  
The Many ◽  
University Of Bern ◽  
Theodor Kocher ◽  
The University ◽  
To Receive

AbstractWe know Kocher's name as an anatomical reference in neurosurgery. In fact, Theodor Kocher was a Swiss general surgeon, and his contributions were such that Kocher was honored in 1909 with the Nobel Prize in Medicine and Physiology, and he was the first surgeon to receive this honor. Kocher participated in the initial scientific phase of medicine, living with names that are in history, as well as him; Langenbeck and Virchow, Lucke, Billroth, Horsley, Lister, Halstedt, Pasteur, Osler, Lawson Tait, Verneuil, and a long list and other icons of the time. The present account rescues the many important facets and contributions of the Swiss surgeon Theodor Kocher, and his relationship with several of them. Kocher's memory, surgical instruments and literary production are preserved in a small wing of the University of Bern. The present article highlights how intense Kocher's dedication to the medical field was.

Ultrasonic Scalpel Versus Classic Procedures with Limited Access in Thyroid Gland Surgery

2007 ◽  
Vol 79 (7) ◽  
Author(s):  
Aleksander Konturek ◽  
Marcin Barczyński ◽  
Stanisław Cichoń ◽  
Ryszard Anielski ◽  
Wojciech Cichoń ◽  
...  
Keyword(s):  
Thyroid Gland ◽  
Ultrasonic Scalpel ◽  
Limited Access ◽  
Thyroid Gland Surgery

scholarly journals Carcinosarcoma of the Thyroid Gland

2015 ◽  
Vol 2015 ◽  
pp. 1-3 ◽  
Author(s):  
Mehmet Fatih Ekici ◽  
Cengiz Kocak ◽  
Zülfü Bayhan ◽  
Sezgin Zeren ◽  
Faik Yaylak ◽  
...  
Keyword(s):  
Thyroid Gland ◽  
Multidisciplinary Approach ◽  
Spindle Cell ◽  
Needle Aspiration ◽  
Cell Component ◽  
Case Presentation ◽  
Fine Needle ◽  
Spindle Cell Component ◽  
Rapid Enlargement ◽  
Right Lobe

Introduction. Surgeon has significant role in the management of such rare and controversial clinical entities related to thyroid gland. In this case report we have presented an elderly patient with rapid enlargement in thyroid that was related to carcinosarcoma.Case Presentation. A 60-year-old lady was presented with rapid enlargement of the thyroid gland. A fine needle aspiration of the nodule in right lobe was performed several weeks before presentation to our clinic. End diagnosis was a papillary carcinoma of the thyroid with spindle cell component. Thus the nodule was recognized to be a carcinosarcoma.Conclusion. Thyroid surgery merits a multidisciplinary approach. Indeed the surgeon should make a conclusive decision in some controversial and rare clinical entities such as carcinosarcoma.

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