Top
20
Doctor insights on: Injury To The Trachea During Thyroid Surgery

Share
1

1
80yr.Has a cerebrovascular event in the early perioperative stage of an open heart surgery operation. Abort operation or go on ? The surgeon choose not to abort the operation to assess for the severity of injuries to the brain. The outcome of the operatio

80yr.Has a cerebrovascular event in the early perioperative stage of an open heart surgery operation. Abort operation or go on ? The surgeon choose not to abort the operation to assess for the severity of injuries to the brain. The outcome of the operatio

I : I do not believe any physician reviewing this comment will be able to appreciate the condition of this patient going into surgery to assess the risk factors, rationale and options for treatment. I doubt that the surgeon would have known the patient was having a stroke during the cardiac procedure. It is not the usual practice of monitoring brain activity during cardiopulmonary bypass. Clearly there was significant cardiac problems, if indeed this patient required two valve repair/replacement, coronary artery bypass grafting and thromboendarterectomy. The fact that the patient suffered multiorgan system failure (as you suggest with the comment that there was "sustained irreversible vital organs damage"), suggests that the pump time was perhaps longer than usual, but understanding also that the organs of an 80 year old patient are fragile to start with. The finding of bilateral strokes on post-op day 3 would be consistent with events that occurred during or shortly after surgery, but likely not known during surgery. So unless there were other indications for the surgeon to abort, then continuing with the operation was understandable. I suggest you make an appointment with the surgeon to discuss your concerns and questions personally, to iron out any confusion or misunderstandings that exist and to bring closure to this case. ...Read more

See 1 more doctor answer
Dr. Mark Loury
137 doctors shared insights

Thyroid Surgery (Definition)

Surgical removal of the thyroid can be performed safely in experienced hands. Risks include general anesthesia, bleeding, infection, injury to nerve that moves vocal cord causing hoarseness and swallowing difficulties, injury to parathyroid glands causing low calcium and need for medications, need for thyroid medications, scar and ...Read more


2

2
Can you have scar tissue under your kneecap? When someone arthroscopic surger can the doc view the back of the knee during the scope? Please explain

Can you have scar tissue under your kneecap?  When someone arthroscopic surger can the doc view the back of the knee during the scope? Please explain

Sure you can have scar: Anywhere there's been an injury. As far as the back of any yet see you can see the back of the knee with arthroscope within the joint space. What you cannot see is the back of the knee where the jerk where you go outside the joint space so sometimes if you're asking the physician about condition at the very back of the knee they may tell you they can't see it arthroscopically because it's outside the joint capsule. ...Read more

3

3
Having a trauma injury to the muscles, tendons and ligaments could that mess up the thyroid?

Having a trauma injury to the muscles, tendons and ligaments could that mess up the thyroid?

No: Thyroid function is independent of traumatic injuries, unless they occur to the thyroid itself. ...Read more

4

4
Before suctioning an intubated patient hooked to mechanical ventilator, is it right to increase the fio2 to 100% to hyperoxygenate the patient?

Before suctioning an intubated patient hooked to mechanical ventilator, is it right to increase the fio2 to 100%  to hyperoxygenate the patient?

Usually: That is usually the norm because, you are technically suctioning out air (and thus oxygen) from the lung when you suction. In all reality, does it affect oxygenation that much? Probably not. But, turning up the oxygen to 100% for a few seconds usually causes no harm. ...Read more

See 1 more doctor answer
6

6
Can an internal infection due to surgery to partially remove mesh of a tvt bladder sling cause an enhancing lesion to develop on the lumbar spine?

Can an internal infection due to surgery to partially remove mesh of a tvt bladder sling cause an enhancing lesion to develop on the lumbar spine?

Avoid complications: Your spine infection after surgery to remove an implanted medical device is tough. Case review with your surgical team, and/or second opinion review would be needed to properly address all the nuances to answer your question. Many hospitals, insurance providers, and state medical boards can provide this service for you. Be well. ...Read more

See 2 more doctor answers
7

7
Is it possible to have nerve damage in the knees from arthroscopic surgery ?

Is it possible to have nerve damage in the knees from arthroscopic surgery ?

Very rarely: Serious' nerve damage is very unusual after arthroscopic knee surgery."inside out" meniscal repair which is still being done by some orthopedists can put the saphenous nerve@ risk w/ medial meniscus repairs and the peroneal nerve@ risk w/lateral meniscus repairs...With' all-inside' repairs now being most common these nerve injuries are rare. ...Read more

See 2 more doctor answers
8

8
What's involved in the surgery to put in a trachea tube?

What's involved in the surgery to put in a trachea tube?

Procedure: Tracheostomy is most commonly done for people you need to be on a ventilator for more than a week or so (depending). It can be done in the or or even at the bedside. It involves making a surgical opening in the windpipe to have better access to the lungs. It is usually straightforward and can take as little as 20 minutes. It is more difficult who are extremely sick or have obese. ...Read more

See 1 more doctor answer
9

9
What might be the cause of throat bleeding and split uvula during placement of tracheal tube during surgery?

What might be the cause of throat bleeding and split uvula during placement of tracheal tube during surgery?

Traumatic intubation: Airway management carries certain risk, such as trauma like you describe. Make sure your surgeon is aware and monitors your progress through this complication. ...Read more

10

10
Can the thyroid be partially radiated to end hyperthyroidism?

Can the thyroid be partially radiated to end hyperthyroidism?

No.: The key issue here is that if there is enough active thyroid tissue remaining after radio-iodine ablation to produce 100% of one's thyroid hormone, there is enough tissue remaining to become hyperthyroid again. Even if there were an amount of tissue that would be enough, but not lead to recurrent hyperthyroidism, we don't have the ability to dose the radio-iodine precisely enough to get there. ...Read more

See 1 more doctor answer
11

11
Is the removal of the wires used to close the sterum after heart bypass sugery a valid option in an effort to reduce non-cardiac chest pain?

Is the removal of the wires used to close the sterum after heart bypass sugery a  valid option in an effort to reduce non-cardiac chest pain?

Sternal wires: Its rare that sternal wires are the actual cause of pain. The pain is more than likely due to scarring from the healing. The pain should also be evaluated by firstly the surgeon and then a pain doctor. Taking the wires out may not solve the problem. ...Read more

12

12
Can damage to the obturator nerve during total laparoscopic hysterectomy cause the adductor minimus to have complete atrophy to nothing?

Perhaps but why?: Any muscle that loses its innervation may atrophy, but in this case there is collateral innervation from a branch of the sciatic (tibial) & possibly an accessory obturator nerve. Bigger question is function. With physical therapy adduction is usually recovered, especially since there is also the adductor magnus & if damage was not total interruption it will also heal. If concern see neurosurgery. ...Read more

13

13
Can the nerve to the vocal cord be damaged in in carotid artery surgery?

Can the nerve to the vocal cord be damaged in in carotid artery surgery?

Yes: The main nerve vagus runs in the surgical field and we try to protect it. The vagus gives off the recurrent laryngeal to the voice box. Cautery, pressure, cutting the vagus will cause a problem. ...Read more

See 1 more doctor answer
15

15
Excision of the nonunion of navicular fracture and curettage of the cysts in the area. Is this surgery recovery going to be lengthy?

Excision of the nonunion of navicular fracture and curettage of the cysts in the area. Is this surgery recovery going to be lengthy?

Time is on your side: Recovery will be as long as it takes. Depending on the procedure and your ability to recover, it could be from 6 weeks to 12 weeks. There will be progressive activity allowed throughout the recovery time. ...Read more

See 1 more doctor answer
16

16
What damage can be done from barium remaining in the esophagus? In sept i had an attempted tif procedure done. However, while inserting the equipment into my esophagus, the physician sliced into my esophagus wall creating a pocket. At the time the physici

What damage can be done from barium remaining in the esophagus? In sept i had an attempted tif procedure done. However, while inserting the equipment into my esophagus, the physician sliced into my esophagus wall creating a pocket. At the time the physici

A : A tear in the lining of the esophagus will repair itself. It is likely that you were kept from eating to make sure the tear was not deeper, going throught the entire wall of the esophagus leading into the chest between the lungs (the mediastinum). Given that this was in september and you are not extremely sick (or worse), that likely did not happen. Barium remaining in the esophagus should not be problematic. There are many variable to the story you give that can make any answers difficult to give, but the time course you describe leaves me to believe that you do not have a hole in the esophagus. ...Read more

See 1 more doctor answer
17

17
Will continuous exposure to cold weather to the head region cause pituitary gland malfunction after some years?

Will continuous exposure to cold weather to the head region cause pituitary gland malfunction after some years?

Doubt it: Hi. No, continuous exposure to cold has never been reported to damage the pituitary. Unlike the body surface, the pituitary is at core body temperature, so even in chilly Canada, your pituiarty's staying nice and cozy at core body temperature. ...Read more

See 1 more doctor answer
18

18
Need to strengthen the muscles that support my knee? Had an operation to remove the cartilage. Painful and twisting to the side.

Need to strengthen the muscles that support my knee? Had an operation to remove the cartilage. Painful and  twisting to the side.

Physical therapy: Working with a pt after knee surgery will be the best way for you to recover strength and conditioning for your thigh and keg muscles. ...Read more

19

19
What is the cause if we play soccer after the surgery of raptured duodenum?

What is the cause if we play soccer after the surgery of raptured duodenum?

Blunt trauma: If you have undergone surgical repair of a ruptured duodenum, you need to wait until you are completely healed before playing soccer again. If you return to play too early, there is a risk of reopening the surgical wound should you fall. I hope that you recover quickly. Wait until your surgeon clears you to return to soccer, since he sees you regularly post-operatively and knows your condition. ...Read more

20

20
Can lengthened costal cartilage (rib-cage cartilage) due to mechanical stress decrease in length after the stress is removed? Do rib cartilages shrink

Can lengthened costal cartilage (rib-cage cartilage) due to mechanical stress decrease in length after the stress is removed?
Do rib cartilages shrink

Potentially: The property of a material to stretch in respons to a stress and then contract back to its original length is know as elasticity. To some extent, the cartilage portion of the ribs do have this property. ...Read more

Dr. Suzanne Galli
1 doctor shared a insight

Injuries (Definition)

An injury, of any severity, is a condition in which a person has damage to any part of his body. Examples of major injuries include gunshot wounds, knife wounds, large burns, severed ...Read more


Dr. Janice Alexander
13 doctors shared insights

Thyroid (Definition)

The thyroid is an endocrine gland that sits in the lower part of the neck. It produces thyroid hormone - which ...Read more