Endocrine Surgery

CATEGORY I (MINOR PROCEDURES)

1. Ultrasound Guided Fine Needle Aspiration Cytology
2. Ultrasound Guided Core Needle Biopsy

CATEGORY II (MAJOR SURGERIES)

1. Hemi-Thyroidectomy
2. Total Thyroidectomy
3. Retrosternal goiters
4. Intrathoracic goiters
5. Focussed Parathyroidectomy
6. Subtotal Parathyroidectomy
7. Thymusectomy
8. Benign Breast Disease
   • Excision Of Fibroadenoma
   • Phyllodes tumour – Wide Local Excision
   • Microdochectomy
   • Hadfield’s Major Duct Excision
   • Gynaecomastia – Webster’s Procedure

CATEGORY III (SUPRAMAJOR SURGERIES)

1. Malignant Thyroid Disease – Thyroidectomy + Lymph Node Dissection
2. Malignant Breast Disease – Breast Conservative Surgery + Axillary Lymph Node Dissection, Modified Radical Mastectomy

CATEGORY IV (HIGH END SURGICAL PROCEDURES)

1. Total Thyroidectomy + Bilateral Neck Node Dissection
2. Laparoscopic & Open Adrenalectomy
   • Adrenal adenoma
   • Incidentaloma
   • Pheochromocytoma
   • Conn’s adenoma
   • Cushing’s adenoma
   • Adrenocortical carcinoma
3. Pancreatectomy – Neuroendocrine Tumours

Success story 1

28 year old primi (20weeks) presented with abdominal pain vomiting and loss of weight and appetite on evaluation was diagnosed as a case of chronic calcific pancreatitis. In view of elevated calcium and low phosphorus, bedside usg evaluation revealed a right inferior parathyroid adenoma. Patient was diagnosed as a case of primary hyperparathyoidism. Patient was operated bilateral neck exploration and right superior and inferior parathyroidectomy was done and patients symptoms resolved and rest of the antenatal period was uneventful.

Success story 2

-A 60year old patient presented with multiple fracture of bilateral femur and tibia following a trivial fall and was admitted in orthopaedic ward. On evaluating from endocrine surgery side we found elevated serum calcium and serum pth 2000 and local examination showed a right inferior parathyroid adenoma and confirmed on scintigraphy. Bilateral neck exploration and right inferior parathyroidectomy was done. On follow up the patients bone mineral density improved and fracture healing improved.

Success story 3

Mr.Pazhanivel , 33yr old male presented to our department with history of giddiness on standing, paroxysmal headache and palpitations for 6 months with his blood pressure rising to 210/110 during the episode and falling to 60/40 on standing.He had a past history of pheochromocytoma for which he operated twice .He was diagnosed as recurrent left adrenal pheochromocytoma with adjacent paraganglioma. Patient was adequately prepared and posted for surgery. Laparotomy was done and both the lesions were successfully excised. Histopathology was reported as Pheochromocytoma of left adrenal gland with paraganglioma. Post operatively patient recovered well with all his symptoms relieved and is now fit for discharge.