Dr . Gautam started Laparoscopic Surgery in April 1992, a first in the Northern Emirates and performed the first Stapling Haemorrhoidectomy and Endoscopic Assisted Thyroidectomy in the United Arab Emirates.
32.
Thyroidectomy is the mainstay of treatment, and should be performed without delay as soon as a diagnosis of MEN2B is made, even if no malignancy is detectable in the thyroid.
33.
A study was performed during a series of first 60 human cases of Transoral endoscopic thyroidectomy vestibular approach ( Level 4 evidence according to Oxford centre for evidence-based medicine ).
34.
More recently, transoral thyroidectomy has been described, and is being completed with success in Thailand, South Korea, and highly specialized centers such as Johns Hopkins in the United States.
35.
As a result, once a diagnosis of thyroid cancer has been established ( most commonly by a fine needle aspiration ), it is likely that a total thyroidectomy will be performed.
36.
Studies examining large databases of patients with papillary thyroid cancer have concluded that there is no survival advantage for patients with stage I papillary thyroid cancer size 1 4 cm receiving total thyroidectomy versus hemithyroidectomy.
37.
For treatment, thyroidectomy, which resects the benign nodule, the possibility of a non-operative minimally invasive treatment method has long been studied and used, in consideration of the functional aspect.
38.
Thyroid nodules are a major presentation of thyroid neoplasms, and are diagnosed by ultrasound guided fine needle aspiration ( USG / FNA ) or frequently by thyroidectomy ( surgical removal and subsequent histological examination ).
39.
Prognosis of MEN2 is mainly related to the stage-dependant prognosis of MTC indicating the necessity of a complete thyroid surgery for index cases with MTC and the early thyroidectomy for screened at risk subjects.
40.
"' Transoral thyroidectomy "'is a procedure which is based on providing scar free surgery to the patients undergoing thyroidectomy and is based on the principle of natural orifice transluminal endoscopic surgery.
