“Thyroidectomy in Australia 2022: Lessons from 21,000 Consecutive Cases”. Published in ANZ Journal of Surgery

Spandana Jagannath¹, Sabaretnam Mayilvaganan²https://orcid.org/0000-0002-2621-394X, Sarrah Idrees³

^1,2Department of Endocrine Surgery, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India

³Department of General and Laparoscopic Surgery, Sir Ganga Ram Hospital, Delhi, India

Corresponding Author: Sabaretnam Mayilvaganan, Department of Endocrine Surgery, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India, Phone: +91 9655851510, e-mail: drretnam@gmail.com

How to cite this article: Jagannath S, Mayilvaganan S, Idrees S, “Thyroidectomy in Australia 2022: Lessons from 21000 Consecutive Cases”. Published in ANZ Journal of Surgery. Indian J Endoc Surg Res 2022;17(2):77.

Source of support: Nil

Conflict of interest: Dr. Sabaretnam Mayilvaganan is associated as Associate Editor of this journal and this manuscript was subjected to this journal’s standard review procedures, with this peer review handled independently of the Editor-in-Chief and his research group.

Received on: 20 November 2022; Accepted on: 21 November 2022; Published on: 30 December 2022

Keywords: Thyroid, Thyroid surgery, Thyroidectomy.

To the Editor,

Dear ma’am,

We read with interest the article “Thyroidectomy in Australia 2022: Lessons from 21,000 Consecutive Cases”,¹ a landmark article published in ANZ Journal of Surgery. The authors from the reputed Royal North Shore Hospital Sydney describe their modern-day approach to total thyroidectomy and how minor refinements have evolved over three decades and in their experience of operating 21,000 cases. The routine use of interoperative neuromonitoring, use of advanced energy devices, and routine supplementation of calcium supplements in the postoperative period to name a few of such modifications evolving over years. Table 1 in the article, adapted from the previous article by Delbridge 2003,² highlights the present-day hybrid approach to RLN, retrograde dissection, and also routine identification and preservation of EBSLN.

The article also highlights the approach to parathyroid glands, the use of PTH post-thyroidectomy, and use of infrared/ICG detection systems. We found this article useful and recommend it to our fellow Indian Endocrine Surgeons to read and benefit.

Thanks for commenting on these issues.

ORCID

Sabaretnam Mayilvaganan https://orcid.org/0000-0002-2621-394X

REFERENCES

1. Papachristos AJ, Glover A, Sywak M, et al. Thyroidectomy in Australia 2022: Lessons from 21,000 consecutive cases. ANZ J Surg 2022;92(7–8):1626–1630. DOI: 10.1111/ans.17783.

2. Delbridge L. Total thyroidectomy: The evolution of surgical technique. ANZ J Surg 2003;73(9):761–768. DOI: 10.1046/j.1445-2197.2003.02756.x.

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