Surgical Management of Thyroid and Parathyroid Diseases

The book comprehensively discusses the surgical management of thyroid and parathyroid diseases. It includes separate chapters dedicated to preliminary evaluation enabling the reader to understand the decision making process. It discusses details of specific preparation for optimizing the conditions suitable for operation. It provides comprehensive description of the complex anatomy of neck and the variations supported by representative photographs. It includes appropriate flowcharts and videos of procedures for better understanding.

The book describes the steps of all surgical procedures of thyroid and parathyroid glands emphasizing practical aspects of surgical techniques, supported by representative photographs. It covers chapters on the management of immediate and late complications, adjuvant treatment as well as treatment of late recurrences. Parathyroid diseases are not common but are known to induce disabling complications. The book also discusses various aspects of presentation and treatment of parathyroid diseases in detail. It stresses upon the role of specialists in different department in the postoperative management of thyroid cancers.

The book meets the curriculum requirements of postgraduate students in specialties like general surgery, head and neck surgery, and endocrine surgery. It also serves as a reference for junior surgeons and enables them to prepare and perform proper thyroid surgeries as well provides guidance in the postoperative management of all thyroid diseases especially thyroid cancer.

Introduction to thyroidology.- History of thyroid surgery.- Surgical anatomy.- Preoperative preparations and mandatory investigations.- Use of radioactive iodine in treatment of graves disease.- Roll of preoperative counselling.- Common instruments used for operation.- Steps of procedure.- Complications thyroidectomy.- Management of vocal cord palsy.- Postoperative management of benign thyroid disease.- Postoperative management of differentiated thyroid cancer and medullary thyroid cancer.- Management of locally advanced thyroid cancer.- Use of radiopharmaceuticals in thyroid cancer.- Modified radical neck dissection.- Remote access thyroidectomy.- Robotic thyroidectomy.- Remote access thyroidectomy.- Trans oral thyroidectomy.- Introduction to hyperparathyroidism.- Steps of parathyroidectomy and postoperative management.- Hyperparathyroidism of renal origin.- Hyperparathyroidism in multiple endocrine neoplasia.

Dr. C. Gopalakrishnan Nair post graduated from Government Medical College Kottayam, Kerala (Kerala University), India.  He was employed as faculty in general surgery in Kerala State Medical College Services. He was a practicing surgeon and clinical teacher in various government medical colleges till March 2002. He joined Amrita Institute of Medical Sciences, Kerala in April 2002 as professor of surgery, heading the endocrine surgery division.

Dr Nair was involved in teaching undergraduate and postgraduate students during his tenure in Kerala Government Medical College Services and Amrita Institute of Medical Sciences. He was also examiner in the postgraduate program in general surgery and super specialty course in endocrine surgery under various Universities in India. He was empaneled peer team member of National Assessment and Accreditation Council of India.

He has published many peer reviewed articles in various PubMed indexed journals and book chapters. He has been a resource person in many regional, state level and national level conferences and workshops for many years. He is an invited reviewer of many journals.

Dr. Santhosh John Abraham, MBBS, MS, DipNB (Surg), FRCS (Edin), FRCS (Glas), FRCS (Eng), FACS, FAIS, FIAES, FMASI is a senior consultant and head department of surgery, Lourdes Hospital, Cochin, Kerala, India. He has done M.S (Gen. Surgery) from the University of Kerala, India. Dr Abraham completed F.R.C.S from The Royal College of Surgeons of England, UK, The Royal College of Physicians and Surgeons of Glasgow, UK and The Royal College of Surgeons of Edinburgh, UK. He is a member of the Association of Surgeons of India and has been the organizing secretary for many conferences. He has given many prestigious orations at major national scientific conferences and has been invited for guest lectures at national and international conferences. He has published several articles in various indexed journals, edited books and contributed book chapters. Dr Abraham compiled the ASI guidelines for surgical emergencies submitted to the Government of India. He was a member of the committee that compiled ASI guidelines for surgery during COVID-19 times.