The rationale of triangles in relation to thyroid surgery: A proposed unified ‘area of danger’ for safe thyroidectomy

Authors : Prem Kumar A

DOI : 10.18231/2581-5229.2018.0013

Volume : 4

Issue : 2

Year : 0

Page No : 48-51

Introduction: Thyroid surgery defines a surgeon’s precision. Even though as a surgery being performed regularly, thyroidectomy still carries considerable rate of morbidity which is dreaded. To solve this difficulty many triangles have been described like the joll s triangle or triangles of concern. But how useful are these triangles in everyday practice remains obscure.
Design of study: Prospective questionnaire study.
Materials and Method: 41 surgeons with 10 years of experience completed a questionnaire regarding their beliefs, awareness, usefulness and remarks about the triangles.
Result: The majority of surgeons believed that the triangles even though were anatomically correct lacked the completeness. Surprisingly many of the surgeons (~63%) didn’t posses sufficient knowledge or awareness of all the triangles in relation to the thyroid surgery. Many suggested for an easier and comprehensive area where the surgeons need to cautious.
Conclusion: Even though the triangles can be used during the surgery, the unified area of danger proposed by the author seems easier and practical.

Keywords: Thyroidectomy, RLN, Complication of thyroid surgery, Triangles in thyroidectomy.


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