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 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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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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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 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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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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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...
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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...
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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...
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