Publications by authors named "J L Kraimps"
Article Synopsis
- After total thyroid surgery, some patients experience low hormone levels from their parathyroid glands, called hypoparathyroidism.
- A study explored if a special light (NIRAF) can help surgeons find more parathyroid glands during surgery, which could lead to better outcomes.
- Results showed that using NIRAF helped surgeons identify more glands, reduced the chances of removing them by mistake, and decreased the number of patients who developed hypoparathyroidism after surgery.
Impact of near-infrared fluorescence imaging plus indocyanine green fluorescence on postoperative hypoparathyroidism rates after total thyroidectomy and central neck lymph node dissection.
Br J Surg
January 2024
Background: Patients with thyroid carcinoma often undergo cervical lymph node dissection, which is associated with high rates of both transient and permanent postoperative hypoparathyroidism. The impact of near-infrared fluorescence imaging + indocyanine green (ICG) fluorescence on postoperative hypoparathyroidism rates after total thyroidectomy and central neck lymph node dissection was evaluated.
Methods: All patients undergoing surgery between January 2019 and March 2023 were included and divided into three groups: a control group (parathyroid glands identified visually), a near-infrared fluorescence imaging alone group, and a near-infrared fluorescence imaging + ICG fluorescence group.
Background: The outcome of adrenalectomy carried out by laparoscopy or open surgery for solid tumor metastases was assessed.
Methods: A total of 317 patients with histologically confirmed adrenal metastatic disease collected from 30 centres in Europe underwent adrenalectomy by laparoscopy (n=146) or open laparotomy (n=171). Differences between laparoscopic and open adrenalectomy were assessed by a single Cox analysis for both procedures.
Background: Steroids are often used for the management of vocal cord palsy after thyroid surgery. There are no reports in the current literature of their intraoperative use, immediately after a loss of signal during neuromonitoring (LOS). We evaluate the impact of a single dose of 4 mg of dexamethasone on laryngeal nerve function, administrated at the time of a LOS during a nerve-monitored thyroidectomy.
View Article and Find Full Text PDF