Why would a thymectomy not be done on an otherwise healthy 18 yr old suffering with generalised myasthenia gravis? thank you for taking time to reply

Thymectomy is option: Thymectomy is a good option in the treatment of myasthenia gravis. It can result in remission of symptoms in many patients. Patients with just ocular involvement often do not need surgery, but otherwise unless there is a contraindications for surgery thymectomy would be a good option.

Afraid: Many referring physicians will not send patients for thymectomy out of fear of procedure. Modern, well trained thoracic surgeons can perform thymectomy by vats or robotic technique on appropriate candidates. Sternotomy is not routinely required for thymectomy. http://goo.gl/3xxmd.