alexa Combination Of Video-assisted Thyroid Surgery And Hypnosis As A Full Minimally Invasive Approach | 9948
ISSN: 2161-1076

Surgery: Current Research
Open Access

Like us on:

OMICS International organises 3000+ Global Conferenceseries Events every year across USA, Europe & Asia with support from 1000 more scientific Societies and Publishes 700+ Open Access Journals which contains over 50000 eminent personalities, reputed scientists as editorial board members.

Open Access Journals gaining more Readers and Citations
700 Journals and 15,000,000 Readers Each Journal is getting 25,000+ Readers

This Readership is 10 times more when compared to other Subscription Journals (Source: Google Analytics)

2nd International Conference on Surgery and Anesthesia

Michel Mourad
ScientificTracks Abstracts: Surgery Curr Res
DOI: 10.4172/2161-1076.S1.012
Introduction: In selected patients, video-assisted thyroidectomy (VAT) fully adheres to the principles of conventional surgery with equivalent safety to the patient. It is generally carried out under general anaesthesia (GA). Thyroidectomy under hypnosis (HY) as an alternative to GA has been shown to be effective. However, the combination of VAT and HY, as a complete minimally invasive approach, has not yet been reported. The aim was to investigate the feasibility and safety of performing VAT in combination with HY. Methods: Between January 2010 and December 2011, 130 patients were selected for VAT according to size criteria. Eighty patients opted voluntarily for GA and 50 patients for HY associated with local anaesthesia. Anaesthesia was standardized in each group of patients. Results: The 2 groups were comparable in terms of age, sex and primary disease. Total thyroidectomy was performed in 53.75% and 56% of cases in the GA and HY groups respectively. The remaining patients underwent thyroid lobectomy. Operating time was significantly longer in the HY group than the GA group. No significant difference between groups was observed in time spent in the operating room. Intraoperative bleeding was significantly higher in the HY group than the other group. Significant differences were observed for blood pressure parameters and heart rate during surgery. Maximal and minimal systolic, mean and diastolic blood pressure and maximal and minimal heart rate were significantly lower in the GA group than the HY group of patients. After surgery, blood oxygen desaturation was observed in one patient in the HY group and 10 patients in the GA group. Conversion to open conventional approach occurred in one and 4 patients in the GA and HY groups, respectively. One patient in the GA group experienced postoperative bleeding, requiring surgery. In the HY and GA groups respectively, 98% and 77.5% of patients required just one overnight stay in hospital. Postoperative calcemia was significantly lower in the GA group than the HY group. There was no permanent RLN palsy or permanent hypoparathyroidism in either group. Conclusion: The combination of video-assisted thyroid surgery and hypnosis is feasible without additional morbidity. The success relies, in one hand, on the ability of the patient to cooperate with the anesthetist and a motivated anesthetist trained in HY techniques. In the other hand, combined skills in VAT and surgery under HY are two prerequisite conditions for the surgeon.
Michel Mourad was graduated as a doctor in 1987 from the Catholic University of Louvain Medical School in Belgium. He achieved his postgraduate surgical training in several European Universities in Belgium and France. He has completed his Ph.D. in the field of pharmacokinetics of immunosuppressive drugs in 2002. He is the head of the kidney and pancreas transplantation and endocrine surgery division in Saint-Luc University Hospital in Belgium. His research program includes pharmacokinetics/pharmacogenetics relationship of immunosuppressive drugs, minimally invasive endocrine surgery and surgery under hypnosis.
image PDF   |   image HTML

Relevant Topics

Peer Reviewed Journals
Make the best use of Scientific Research and information from our 700 + peer reviewed, Open Access Journals
International Conferences 2018-19
Meet Inspiring Speakers and Experts at our 3000+ Global Annual Meetings

Contact Us

Business & Management Journals


[email protected]

1-702-714-7001Extn: 9042

Chemistry Journals

Gabriel Shaw

[email protected]

1-702-714-7001Extn: 9040

Clinical Journals

Datta A

[email protected]

1-702-714-7001Extn: 9037

Engineering Journals

James Franklin

[email protected]

1-702-714-7001Extn: 9042

Food & Nutrition Journals

Katie Wilson

[email protected]

1-702-714-7001Extn: 9042

General Science

Andrea Jason

[email protected]

1-702-714-7001Extn: 9043

Genetics & Molecular Biology Journals

Anna Melissa

[email protected]

1-702-714-7001Extn: 9006

Immunology & Microbiology Journals

David Gorantl

[email protected]

1-702-714-7001Extn: 9014

Materials Science Journals

Rachle Green

[email protected]

1-702-714-7001Extn: 9039

Nursing & Health Care Journals

Stephanie Skinner

[email protected]

1-702-714-7001Extn: 9039

Medical Journals

Nimmi Anna

[email protected]

1-702-714-7001Extn: 9038

Neuroscience & Psychology Journals

Nathan T

[email protected]

1-702-714-7001Extn: 9041

Pharmaceutical Sciences Journals

Ann Jose

[email protected]

1-702-714-7001Extn: 9007

Social & Political Science Journals

Steve Harry

[email protected]

1-702-714-7001Extn: 9042

© 2008- 2018 OMICS International - Open Access Publisher. Best viewed in Mozilla Firefox | Google Chrome | Above IE 7.0 version
Leave Your Message 24x7