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“Parathyroid surgery can be safely performed in a community hospital by experienced parathyroid surgeons: A retrospective cohort study”
International Journal of Surgery 32 (2016) 186
Contents lists available at ScienceDirect
International Journal of Surgery journal homepage: www.journal-surgery.net
Letter to the Editor
“Parathyroid surgery can be safely performed in a community hospital by experienced parathyroid surgeons: A retrospective cohort study”
Dear Sir, We read with interest the article by Vladimir K. Neychev et al. “Parathyroid surgery can be safely performed in a community hospital by experienced parathyroid surgeons: A retrospective cohort study” [1]. We congratulate the authors on their magnificent effort to perform parathyroid surgery in the community health centre and there by taking endocrine surgery to areas under accessed. This kind of initiative where trained surgeons under the mentorship of expert endocrine surgeons perform peripheral surgeries with acceptable results shall result in presence of quality health care givers even in the periphery. We would like to make certain comments. We agree with the authors that surgeon is one of the important factors for successful parathyroidectomy. But even the radiologist and nuclear medicine physician if they are dedicated to endocrine surgery then the imaging interpretation is much better. Parathyroid disorders even though common, requires high index of suspicion on part of the physician examining the patient, so that the diagnosis can be made at an initial stage itself and there by complications and squeal can be prevented. In this era of tele mentoring and tele consultation all specialties including para clinical and clinical specialties should make use of tele medicine facilities in complex cases for betterment of treatment and patient care. We have few queries which can be of interest to future readers. Did the authors perform intra op frozen section during surgical procedures? Did the endocrine surgeons perform surgeon performed ultrasound [2] and did the findings correlated with the radiologist.
Did the authors perform any of their surgeries under local anesthesia? [3].
References [1] V.K. Neychev, M. Ghanem, S.L. Blackwood, P. Aragon Han, R. Fazeli, E. Schneider, A. Najafian, D.C. Bloch, M.C. Bard, J.H. Klarsfeld, M.A. Zeiger, R.J. Lipton, Parathyroid surgery can be safely performed in a community hospital by experienced parathyroid surgeons: a retrospective cohort study, Int. J. Surg. 27 (2016 Mar) 72e76. [2] O. Uslukaya, M. Gumus, B. Tasdemir, C. Goya, F. Kilinc, A. Oguz, A. Turkoglu, Z. Bozdag, Improvement of minimally invasive parathyroidectomy outcomes by real time ultrasonography performed by a surgeon and radiologist team, Med. Ultrason. 17 (3) (2015 Sep) 315e321, http://dx.doi.org/10.11152/ mu.2013.2066.173.oky. PubMed PMID: 26343079. € Karahan, A. Okus, B. Sevinç, M.A. Eryilmaz, S. Ay, M. Çayci, C. Duran, Mini[3] O. mally. invasive parathyroidectomy under local anesthesia, J. Postgrad. Med. 59 (1) (2013 Jan-Mar) 21e24, http://dx.doi.org/10.4103/0022-3859.109485. PubMed PMID: 23525054.
DOI of original article: http://dx.doi.org/10.1016/j.ijsu.2016.06.010. http://dx.doi.org/10.1016/j.ijsu.2016.06.011 1743-9191/© 2016 IJS Publishing Group Ltd. Published by Elsevier Ltd. All rights reserved.
Mayilvaganan Sabaretnam*, Ashwini C. Reddy, Sendhil Rajan, Aromal Chekavar, A.K. Verma Department of Endocrine and Breast Surgery, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow 226014, India * Corresponding author. E-mail address: [email protected] (M. Sabaretnam).
1 April 2016 Available online 16 June 2016
Contents lists available at ScienceDirect
International Journal of Surgery journal homepage: www.journal-surgery.net
Letter to the Editor
“Parathyroid surgery can be safely performed in a community hospital by experienced parathyroid surgeons: A retrospective cohort study”
Dear Sir, We read with interest the article by Vladimir K. Neychev et al. “Parathyroid surgery can be safely performed in a community hospital by experienced parathyroid surgeons: A retrospective cohort study” [1]. We congratulate the authors on their magnificent effort to perform parathyroid surgery in the community health centre and there by taking endocrine surgery to areas under accessed. This kind of initiative where trained surgeons under the mentorship of expert endocrine surgeons perform peripheral surgeries with acceptable results shall result in presence of quality health care givers even in the periphery. We would like to make certain comments. We agree with the authors that surgeon is one of the important factors for successful parathyroidectomy. But even the radiologist and nuclear medicine physician if they are dedicated to endocrine surgery then the imaging interpretation is much better. Parathyroid disorders even though common, requires high index of suspicion on part of the physician examining the patient, so that the diagnosis can be made at an initial stage itself and there by complications and squeal can be prevented. In this era of tele mentoring and tele consultation all specialties including para clinical and clinical specialties should make use of tele medicine facilities in complex cases for betterment of treatment and patient care. We have few queries which can be of interest to future readers. Did the authors perform intra op frozen section during surgical procedures? Did the endocrine surgeons perform surgeon performed ultrasound [2] and did the findings correlated with the radiologist.
Did the authors perform any of their surgeries under local anesthesia? [3].
References [1] V.K. Neychev, M. Ghanem, S.L. Blackwood, P. Aragon Han, R. Fazeli, E. Schneider, A. Najafian, D.C. Bloch, M.C. Bard, J.H. Klarsfeld, M.A. Zeiger, R.J. Lipton, Parathyroid surgery can be safely performed in a community hospital by experienced parathyroid surgeons: a retrospective cohort study, Int. J. Surg. 27 (2016 Mar) 72e76. [2] O. Uslukaya, M. Gumus, B. Tasdemir, C. Goya, F. Kilinc, A. Oguz, A. Turkoglu, Z. Bozdag, Improvement of minimally invasive parathyroidectomy outcomes by real time ultrasonography performed by a surgeon and radiologist team, Med. Ultrason. 17 (3) (2015 Sep) 315e321, http://dx.doi.org/10.11152/ mu.2013.2066.173.oky. PubMed PMID: 26343079. € Karahan, A. Okus, B. Sevinç, M.A. Eryilmaz, S. Ay, M. Çayci, C. Duran, Mini[3] O. mally. invasive parathyroidectomy under local anesthesia, J. Postgrad. Med. 59 (1) (2013 Jan-Mar) 21e24, http://dx.doi.org/10.4103/0022-3859.109485. PubMed PMID: 23525054.
DOI of original article: http://dx.doi.org/10.1016/j.ijsu.2016.06.010. http://dx.doi.org/10.1016/j.ijsu.2016.06.011 1743-9191/© 2016 IJS Publishing Group Ltd. Published by Elsevier Ltd. All rights reserved.
Mayilvaganan Sabaretnam*, Ashwini C. Reddy, Sendhil Rajan, Aromal Chekavar, A.K. Verma Department of Endocrine and Breast Surgery, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow 226014, India * Corresponding author. E-mail address: [email protected] (M. Sabaretnam).
1 April 2016 Available online 16 June 2016