METHOD OF DETECTION OF RESIDUAL TISSUES IN RECURRENT OPERATIONS ON THE THYROID GLAND

A search of residual tissues is complicated in recurrent operations on the thyroid gland. The Saint-Petersburg Centre of Surgery of the Endocrine System and Oncology developed the method of detection of residual tissues of the thyroid gland with the aim of preoperative chromothyroidolymphography und...

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Bibliographic Details
Main Authors: A. V. Gostimskiy, A. F. Romanchishen, I. V. Zaitseva, Yu. V. Kuznetsova
Format: Article
Language:Russian
Published: Pavlov First Saint Petersburg State Medical University 2018-01-01
Series:Вестник хирургии имени И.И. Грекова
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Online Access:https://www.vestnik-grekova.ru/jour/article/view/583
Description
Summary:A search of residual tissues is complicated in recurrent operations on the thyroid gland. The Saint-Petersburg Centre of Surgery of the Endocrine System and Oncology developed the method of detection of residual tissues of the thyroid gland with the aim of preoperative chromothyroidolymphography under control of ultrasound. The method consisted of US performance during 15-20 minutes before the operation and an introduction of 1% sterile water solution of methylene blue in revealed residual tissues of the thyroid gland. The volume of injected coloring agent was 0,5-2 ml in the residual tissue volume smaller than 9 cm³ and 2-3 ml injected in case of more than 9 cm³. The residual tissues of the thyroid gland accurately visualized during the following operation. Described method gives the possibility to detect all regions of residual tissues which should be removed and at the same time it shortens a revision and surgery trauma.
ISSN:0042-4625