Muscat: Dr Reji Chandran, MS, FMAS, Laparoscopic and General Surgeon working at Badr Al Samaa Hospital, Ruwi offers an alternative treatment to traditional thyroidectomy.
Expert in Transaxillary Endoscopic Thyroidectomy, Dr Reji adopts different approaches to thyroid disorders. In an endoscopic thyroidectomy, it approaches the thyroid from the lateral aspect via either axilla or lateral chest in contrary to the conventional anterior open approach.
The surgical treatment of thyroid disease typically involves a transverse incision made in a highly visible area of the anterior lower neck. This open approach permits direct exposure and safe dissection of the thyroid gland for most diseases requiring surgical intervention. However, for some patients of darker-skin ethnic origin, such an incision can result in hyperplastic or keloid scar formation within a highly visible area of the neck.
With the evolution of endoscopy and minimally invasive surgery, more and more doctors are into this field because of its advantages and patient acceptance.
The advantages of surgery performed using minimally invasive technique are enhanced cosmesis, optical enhancement, and improved visualisation through video magnification. All these have inspired the use of an endoscopic approach to the thyroid and parathyroid glands.
Dr Huscher in 1997 successfully applied minimally invasive thyroid surgery for a benign thyroid tumour. Ohgami M introduced endoscopic thyroidectomy using the breast approach in 2000.
In addition, Dr Ikeda reported the first axillary endoscopic thyroidectomy in 2000.
The usual approaches to the thyroid in endoscopic techniques are, Axillary (since 2000), Breast (since 2000), Anterior chest wall, Axillo-Bilateral-Breast (ABBA) (since 2003) and Bilateral Axillo-breast (BABA) (2007).
“Now, several reports have described the feasibility and the better cosmetic results of endoscopic thyroidectomy than those of conventional open surgery,” said Dr Reji.
Badr Al Samaa Hospital, Ruwi specialises in a wide array of daycare and inpatient surgical procedures. Their team is committed to providing state-of-the-art, safe and compassionate care to patients. Their surgical team includes highly trained doctors, nurses and experienced operating room technicians. Badr Al Samaa is recognised in various communities for patient satisfaction. Their common services include a wide variety of surgical procedures and they include neurosurgery, urologic surgery, reconstructive surgery, foot and ankle, surgery, orthopaedic surgery, arthroscopic surgery, ENT surgery, laparoscopic and general surgery, bariatric and metabolic surgery and gynaecologic surgery.