The impact of intraoperative "Nerve Monitoring" in a tertiary referral center for thyroid and parathyroid surgery.

cost analysis intraoperative neuromonitoring (IONM) parathyroid surgery recurrent laryngeal nerve thyroid surgery thyroidectomy

Journal

Frontiers in surgery
ISSN: 2296-875X
Titre abrégé: Front Surg
Pays: Switzerland
ID NLM: 101645127

Informations de publication

Date de publication:
2022
Historique:
received: 01 07 2022
accepted: 21 07 2022
entrez: 29 8 2022
pubmed: 30 8 2022
medline: 30 8 2022
Statut: epublish

Résumé

The most fearsome complication in thyroid surgery is the temporary or definitive recurrent laryngeal nerve (RLN) injury. The aim of our study was to evaluate the impact of intraoperative neuromonitoring (IONM) on postoperative outcomes after thyroid and parathyroid surgery. From October 2014 to February 2016, a total of 80 consecutive patients, with high risk of RLN injuries, underwent thyroid and parathyroid surgery. They were divided in two groups (IONM group and control group), depending on whether neuromonitoring was used or not. We used the Nerve Integrity Monitoring System (NIM)-Response 3.0® (Medtronic Xomed®). The operation time (

Identifiants

pubmed: 36034362
doi: 10.3389/fsurg.2022.983966
pmc: PMC9399456
doi:

Types de publication

Journal Article

Langues

eng

Pagination

983966

Informations de copyright

© 2022 Princi, Gallo, Tempera, Umbriano, Goglia, Andreoli and Nigro.

Déclaration de conflit d'intérêts

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Références

Br J Surg. 2009 Mar;96(3):240-6
pubmed: 19177420
Updates Surg. 2010 Dec;62(3-4):183-7
pubmed: 21153003
World J Surg. 2009 Mar;33(3):417-25
pubmed: 18758849
Clin Ter. 2013 May-Jun;164(3):e193-8
pubmed: 23868637
World J Surg. 2008 Jul;32(7):1358-66
pubmed: 18305996
Cochrane Database Syst Rev. 2019 Jan 19;1:CD012483
pubmed: 30659577
Chirurg. 2004 Sep;75(9):916-22
pubmed: 15168032
BJS Open. 2020 Oct;4(5):821-829
pubmed: 32543773
Surgery. 2010 Oct;148(4):718-22; discussion 722-3
pubmed: 20709343
Head Neck. 2012 Nov;34(11):1591-6
pubmed: 22431167
J Am Coll Surg. 2004 Oct;199(4):556-60
pubmed: 15454138
Eur Arch Otorhinolaryngol. 2014 Aug;271(8):2267-76
pubmed: 24132654
Pol Przegl Chir. 2011 Apr;83(4):196-203
pubmed: 22166358
Langenbecks Arch Surg. 2008 Sep;393(5):667-73
pubmed: 18633639
Laryngoscope. 2011 May;121(5):1009-17
pubmed: 21520117
Updates Surg. 2022 Apr;74(2):727-734
pubmed: 34327667
Int J Technol Assess Health Care. 2012 Jul;28(3):259-64
pubmed: 22980702
JAMA Otolaryngol Head Neck Surg. 2016 Dec 1;142(12):1199-1205
pubmed: 27737451
Laryngoscope. 2011 Jan;121 Suppl 1:S1-16
pubmed: 21181860
Int J Surg. 2010;8(6):474-8
pubmed: 20601257
World J Surg. 2014 Mar;38(3):599-606
pubmed: 24081538
Laryngoscope. 2002 Jan;112(1):124-33
pubmed: 11802050
Otolaryngol Head Neck Surg. 2013 Jun;148(6 Suppl):S1-37
pubmed: 23733893
Int J Surg. 2017 Feb;38:21-30
pubmed: 28034775
World J Surg Oncol. 2013 Apr 23;11:94
pubmed: 23618223
J Visc Surg. 2014 Jun;151(3):183-9
pubmed: 24880605
Int J Surg. 2014 Dec;12(12):1500-24
pubmed: 25046751
Ann Surg. 2002 Feb;235(2):261-8
pubmed: 11807367
Surgery. 2004 Dec;136(6):1310-22
pubmed: 15657592
J Surg Res. 2014 May 1;188(1):152-61
pubmed: 24433869
Eur Arch Otorhinolaryngol. 2015 Oct;272(10):3039-43
pubmed: 25248913
Surgery. 2008 Jun;143(6):743-9
pubmed: 18549890
World J Surg. 2000 Nov;24(11):1335-41
pubmed: 11038203
Eur Arch Otorhinolaryngol. 2013 Aug;270(8):2175-89
pubmed: 23681545
J Otolaryngol Head Neck Surg. 2014 Jun 18;43:16
pubmed: 24942225
Surgery. 2006 Dec;140(6):866-72; discussion 872-3
pubmed: 17188132
BMC Surg. 2021 Sep 25;21(1):352
pubmed: 34563188

Auteurs

Pietro Princi (P)

UOC Centro Multifunzionale di Chirurgia Endocrina, Ospedale Cristo Re, Roma, Italy.

Gaetano Gallo (G)

Department of Surgical Sciences, Sapienza University of Roma, Roma, Italy.

Serena Elisa Tempera (SE)

UOC Centro Multifunzionale di Chirurgia Endocrina, Ospedale Cristo Re, Roma, Italy.

Antonio Umbriano (A)

Operative Unit of Surgery, Cerignola Hospital, Foggia, Italy.

Marta Goglia (M)

Department of Surgery, Sant'Andrea Hospital, Sapienza University of Roma, Roma, Italy.

Federica Andreoli (F)

UOC Centro Multifunzionale di Chirurgia Endocrina, Ospedale Cristo Re, Roma, Italy.

Casimiro Nigro (C)

Department of General Surgery, University of Rome "Tor Vergata", Roma, Italy.

Classifications MeSH