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Thyroid anomalies from Surgical perspective
Thyroid anomalies encompass a wide range of conditions affecting the thyroid gland, necessitating various surgical interventions. Thyroidectomy, the surgical removal of the thyroid gland, is commonly performed for both benign and malignant thyroid nodules. In cases of large goiters causing compression of adjacent structures, subtotal or total thyroidectomy may be required. Papillary thyroid carcinoma is the most prevalent thyroid malignancy, often treated with surgical resection and subsequent radioactive iodine therapy. Follicular thyroid carcinoma may necessitate lobectomy or total thyroidectomy depending on tumor characteristics and risk factors. Medullary thyroid carcinoma often warrants total thyroidectomy due to its aggressive nature and potential for systemic involvement. Anaplastic thyroid carcinoma is a highly aggressive tumor, typically requiring radical surgical excision and adjuvant therapies.
About the Speaker
Dr. Rekha Arcot
Professor of Surgery Dean, Apollo Institute Of Medical Sciences and Research
Dr. Rekha was awarded by various organizations for her work in Mishaps during thyroidectomy, the GG Chatterjee fellowship award, ISSF Travel Scholar award by the Association of Surgeons. She was invited as a guest speaker for various workshops by prestigious organizations like SMRC, CMC, Vellore, and Amrita Institute of Medical Sciences.
Upcoming Case Discussions
H. pylori Treatment with PYELRA®: Best Practices
PYLERA® is a medication used for the treatment of Helicobacter pylori (H. pylori) infection, a common cause of stomach ulcers and gastritis. It contains a combination of three active ingredients: bismuth subcitrate potassium, metronidazole, and tetracycline. This combination works synergistically to eradicate H. pylori bacteria and reduce associated symptoms. Treatment with PYLERA® typically involves taking multiple capsules four times a day for a specified duration, as prescribed by a healthcare provider. It is important to follow the treatment regimen as directed and to discuss potential side effects
Patient Centric Care in Critical Care
Patient-centric care in critical care is a holistic approach that places the patient at the center of medical decision-making and treatment processes. It prioritizes the individual's preferences, values, and needs, considering not only their medical condition but also their emotional and psychological well-being. This approach involves clear communication, shared decision-making, and active involvement of patients and their families in care planning. Healthcare providers strive to deliver personalized care that respects the patient's dignity, autonomy, and cultural beliefs, aiming to optimize outcomes and enhance overall quality of life.
Pneumonia in Children
Pneumonia in children is often caused by viral or bacterial infections, leading to inflammation of the lungs. Symptoms may include cough, fever, rapid breathing, and chest pain. Diagnosis typically involves physical examination, chest X-ray, and sometimes blood tests or other imaging studies. Treatment may include antibiotics for bacterial pneumonia, supportive care such as rest, fluids, and fever management, and in severe cases, hospitalization for oxygen therapy and close monitoring. Vaccination against common pathogens like Streptococcus pneumoniae and Haemophilus influenzae type b can help prevent pneumonia in children.
Medical Nutrition Therapy in Diabetes
Medical nutrition therapy (MNT) is a cornerstone in the management of diabetes, focusing on individualized dietary plans tailored to the patient's specific needs and goals. It emphasizes a balanced intake of macronutrients, including carbohydrates, proteins, and fats, to achieve optimal blood glucose control while promoting overall health and well-being. MNT aims to stabilize blood sugar levels, prevent complications, and improve quality of life through careful monitoring of food intake, portion control, and timing of meals. Additionally, MNT educates patients on carbohydrate counting, glycemic index, and meal timing to help them make informed choices and better manage their condition. Collaborative efforts between patients, healthcare providers, and registered dietitians play a vital role in implementing and sustaining effective MNT strategies tailored to each individual's lifestyle and dietary preferences, thereby enhancing diabetes management and long-term health outcomes.
HIPEC for Ovarian Cancer
Hyperthermic Intraperitoneal Chemotherapy (HIPEC) has emerged as a promising treatment modality for advanced ovarian cancer, offering a multifaceted approach to combat this challenging disease. In HIPEC, heated chemotherapy is circulated throughout the abdominal cavity following cytoreductive surgery, targeting residual cancer cells and microscopic disease not removed by surgery alone. This localized delivery of chemotherapy at elevated temperatures enhances drug penetration, increases cytotoxicity, and disrupts tumor cell repair mechanisms. Consequently, HIPEC not only addresses macroscopic disease but also targets microscopic metastases, potentially reducing recurrence rates and improving overall survival outcomes. Despite its promising results, HIPEC requires specialized expertise and is typically reserved for select patients with advanced ovarian cancer who can tolerate aggressive surgical and chemotherapeutic approaches. Ongoing research aims to further refine patient selection criteria, optimize treatment protocols, and assess long-term outcomes to establish HIPEC's role in the comprehensive management of ovarian cancer.