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Surgery

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Question:

How is thyroidectomy complications of thyroid surgery in case of surgeon experience? And Infection?

Author: H K



Answer:

High volume surgeons (>50 thyroidectomy/year), achieve lower complications and shorter length of stay Infection (<1-2%, periop AB not benificial, presentation [cellulitis erythema around incision, superficial abscesses, deep neck abscess produce fever, pain, leukocytosis, tachycardia) Evaluation (send purulence from gram stain and culture, CT image exclude esophageal perforation w/deep nek abscess, gastrograffin useful w/esophageal swallow study Tx (Cellulitis AB against G+, drain abscess, deep neck abscess broad Spectrum ABs) Drainage not so much successful can cause inflammation


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H K
H K