METHOD OF SURGICAL MANAGEMENT OF BENIGN PALPABLE THYROID ABNORMALITIES

摘要

FIELD: medicine.;SUBSTANCE: invention refers to medicine, and can be used for surgical management of nodular and multinodular nontoxic goiter. For this purpose, at the first stage a thyroid gland is punctured with a puncture needle G19. The needle is moved to the centre of the goiter from the mid-line of an anterior surface of neck with ultrasonic guidance. Then 0.35% radachlorine 1 ml per 1 cm³ is injected. Then the needle is removed. At the second stage, 5-10 minutes later needle puncture is performed again, and a light guide is introduced through needle opening. It is followed by laser exposure at wave length 0.662 mcm, power 100 to 900 mWt for 11-20 minutes. If observing the presence of more than one palpable abnormality in the same lobe at the first and second stages, the needle introduced earlier is alternately moved in the centre of the following goiter, and similarly all the procedures are repeated for required number of times.;EFFECT: method ensures evident and permanent clinical effect with no thyroid tissue destruction with minimum tissue injures, provides achieving gradual regress of pathological process in tissues and its replacements by normal thyroid epithelium with no destructive changes, reducing risk of specific postoperative complication in the form of bleeding.;1 ex