Dr. Richard Guttler
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Dr.Guttler’s Patient Thyroid Blog Post: List of Thyroid conditions that can be treat without surgery with Ethanol or Radiofrequency Ablation

Posted June 8, 2022 by Dr Guttler
374
Dr.Guttler’s Patient Thyroid Blog Post: List of Thyroid conditions that can be treat without surgery with Ethanol or Radiofrequency Ablation

Dr.Guttler’s Patient Thyroid Blog Post: List of Thyroid conditions can be treated  without surgery with Ethanol or Radiofrequency Ablation. 1. Class II cytology benign thyroid nodules. 2. Proven benign  class III and IV cytology nodules...

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Dr.Guttler’s Patient Thyroid Blog Post; RFA for Parathyroid Adenoma

Posted June 7, 2022 by Dr Guttler
322
Dr.Guttler’s Patient Thyroid Blog Post; RFA for Parathyroid Adenoma

Dr.Guttler’s Patient Thyroid Blog Post; RFA for Parathyroid Adenoma PTA. Efficacy and Safety of Ultrasound-Guided Radiofrequency Ablation for Parathyroid Adenoma. Dr.Guttler’s comments: The imaging of the PHPT nodules should include ...

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Pioneer in Minimally Invasive Procedures: Dr.George Berci

Posted March 14, 2022 by Dr Guttler
453
Pioneer in Minimally Invasive Procedures:  Dr.George Berci

DR. Guttler’s Comments: 1. A Pioneer in Minimally Invasive Surgery. 2. He is 101 years old and still has passion for his work. Arises early to walk go to the gym then spends 3 days a week at Cedars and the rest of the week he works form...

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DR.Guttler’s Patient Blogpost

Posted February 28, 2022 by Dr Guttler
378
DR.Guttler’s Patient Blogpost

One Visit Evaluation to See If you are a candidate for alternative therapy with ethanol or radiofrequency ablation with complete testing done by Dr.Guttler in His Office. One Visit Evaluation to See If you are a candidate for alternative therapy...

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Patient’s Guide to Available Thyroid and Neck Ablation For Nodules,Cysts, Parathyroid Adenoma and Cancer

Posted February 9, 2022 by Dr Guttler
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Patient’s Guide to Available Thyroid and Neck Ablation For Nodules,Cysts, Parathyroid Adenoma and Cancer

1. Thyroid Nodules: Pure cyst or > 50 fluid use ethanol ablation PEI. Solid mixed cyst >50% use Radiofrequency ablation RFA. 2. Solid Thyroid Nodules: Toxic or Autonomous Functioning Nodule with Low TSH and High T4: Treat with RFA instead...

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Patient Roadmap To Achieving Their Goal of Alternative Treatment for Their Thyroid Nodules and Cancer

Posted January 24, 2022 by Dr Guttler
501
Patient Roadmap To Achieving Their Goal of Alternative Treatment for Their Thyroid Nodules and Cancer

Thyroid Ablation with Ethanol and Radiofrequency Ablation. Don’t be fooled by ads and websites by hospitals, universities, radiologists, surgeons who are new to Treating thyroid patients with thyroid radiofrequency or ethanol ablation treatment...

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Nerve Damage and Voice changes rates of RLN injury during thyroidectomy range from 0.3 to 8%!

Posted January 21, 2022 by Dr Guttler
500
Nerve Damage and Voice changes rates of RLN injury during thyroidectomy range from 0.3 to 8%!

Dr.Guttler’s comments: To prevent this serious complication, make sure you absolutely need the surgery. A total of 1000 RLNs from 574 patients were assessed in this review. Nearly one-quarter (23%) of the RLNs deviated from their...

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Dr Valcavi’s TNT Association’s Thyroid Nodule Therapies April 9th 2022 Webinar

Posted January 21, 2022 by Dr Guttler
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Dr Valcavi’s TNT Association’s  Thyroid Nodule Therapies April 9th 2022 Webinar
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2022 The Indication For Thyroid Surgery Decreases Further Due to Novel Ablation Procedures For Benign and Thyroid Tumors

Posted January 19, 2022 by Dr Guttler
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2022 The Indication For Thyroid Surgery Decreases Further Due to Novel Ablation Procedures For Benign and Thyroid Tumors

Thyroid 32(1) 2022 Tufano RP et al “The year of technical advances in treating nodules and cancer” Dr.Guttler’s comments on this special article on thyroid advances. The number of surgeries for benign nodules has shown a...

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Thyroid No Surgery: List of All Diseases With Low Risk Alternative Ablation Therapy Available at My Center

Posted January 10, 2022 by Dr Guttler
485
Thyroid No Surgery: List of All Diseases With Low Risk Alternative Ablation Therapy Available at My Center

Benign thyroid nodules class 11 are good candidates for Ablation. However, Class III will need more studies to be sure you don’t have a nodule with potential for thyroid cancer. A suspicious needle biopsy alone can lead to unnecessary...

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Continuous Infusion of Dextrose to Protect Vital Structures During Thyroid Radiofrequency Ablation Procedures.

Posted January 7, 2022 by Dr Guttler
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Continuous Infusion of Dextrose to Protect Vital Structures During Thyroid Radiofrequency Ablation Procedures.

When do we need to use continuous infusion D5W for adequate hydrodissection protective effects? Ma Y. et al Eur. Thyroid Journal October 2021 DR. Guttler’s Comments on the article: Single bolus of D5W has a short half life in the body...

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Radiofrequency Ablation RFA for Parathyroid Adenoma PTA: May Replace Surgery in Select Cases

Posted December 26, 2021 by Dr Guttler
682
Radiofrequency Ablation RFA for Parathyroid Adenoma PTA: May Replace Surgery in Select Cases

Endocrine Practice 27(2021) 1205-1211 Tufano R. et al DR.Guttler’s Comments: 25 patients were treated with RFA for PTA. 29 enlarged glands were RFA treated. 22 had one session. 3 had 2 sessions. 84% cure rate. 12 month volume reduction in...

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