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...More info
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...More info
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...More info
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...More info
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...More info
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...More info
Is Thyroidectomy Still the gold standard for all thyroid nodules,cancer, and metastatic lymph nodes?
20 years of image guided interventional methods have emerged as alternatives for treatment. Ethanol ablation PEI has been accepted as best treatment for thyroid cysts. Thermal ablation has been successful in size reduction of thyroid nodules that...More info
Thyroid RFA Danger Zones: Not just the “danger triangle”The whole Posterior half of the thyroid gland is a danger area.
Where are the critical Structures? 1.A medial located vagus nerve can be up against the nodule. It is usually located lateral to the carotid in 75%. The middle cervical sympathetic ganglion also can be near the nodule. Recurrent laryngeal nerve...More info
Parathyroid Adenoma No Surgery: Radiofrequency Ablation in My Endocrine Office.
DR.Guttler’s comments: A study with 10 patients with hypercalcemia due to adenoma treated with RFA and followed for 6 months.. 7/10 had normal PTH and Calcium for 6 months. 1/10 died of pancreatitis. 2/10 lost to F/U before the 6 th month...More info