ABSTRACT
Thyroid surgery has been developping to a safe surgery including minimally invasive treatment options meeting high safety standards up to now. This fascinating development is displayed in a medical-historical context based on the current state of surgical and medical-historical research. The increasing comprehension of thyroid diseases and treatments including their perioperative sequelae and complications is interpreted in this historical context. Newly implemented minimally invasive thyroid operations differ by access modalities and pathes and led to higher patient comforts regarding the wounds and scar formation. Future surgical techniques and new access pathes have to meet at least the present high safety and quality standards in thyroid surgery and nuclear medicine.
Subject(s)
Minimally Invasive Surgical Procedures , Thyroid Gland/surgery , Thyroidectomy , HumansABSTRACT
Gastric Bypass: Weight Loss with Complications Abstract. Roux-en-Y gastric bypass (RYGBP) is the most often performed bariatric operation worldwide with internal hernia as one of the main long-term complications. To our knowledge, we report the first case of post-ischemic small-bowel strictures observed after a successful operation of an internal hernia after RYGBP. During emergency surgery a Petersen and a Brolin hernia were diagnosed and repaired. The initially ischemic small intestine was recovered. However, a week later the patient presented herself again due to ischemia-induced small-bowel strictures. These were treated successfully by endoscopic balloon dilatation.
