OBJECTIVE: To explore the three-dimensional ultrasound locatization in endoscopic thyroidectomy for multinodular goiter (MG). METHOD: Thirty two patients with MG underwent ET via bilateral areolar approach. Preoperative ultrasonography were used to locate lesions and marked in the 3-D map designed by us. Dur ing ET procedure, surgery skills were adopted to expose inferior pole of thyroid, glands in the area of Berry ligament or (and) upper pole were retained according to the preoperative location map. RESULT: According to the preoperative ultrasonic orientation, 3 lobectomy were performed in 15 cases of unilateral lesions, 12 subtotal thyroidectomy were performed in 17 cases of bilateral lesions, and 5 patients performed unilateral lobectomy add partial thyroidectomy. All patients had successful ET using bilateral areola approach. No conversions to open surgery, no complication occurred, and no nodules were found missing in the postoperative ultrasonography examinations. CONCLUSION Preoperative ultrasonic orientation and intraoperative operating skills are contributing to a successful ET for MG.
Adolescent ; Adult ; Aged ; Endoscopy ; methods ; Female ; Goiter, Nodular ; diagnostic imaging ; surgery ; Humans ; Imaging, Three-Dimensional ; Male ; Middle Aged ; Thyroidectomy ; methods ; Ultrasonography ; Young Adult

Objective: To explore procedures and clinical effect of the technique, combined reposition of rectus abdominis with abdminioplasty, for treating postpartum women with diastasis rectus abdominis and lax abdominal wall. Methods: Postpartum women with diastasis rectus abdominis and lax abdominal wall who underwent reposition of rectus abdominis and abdminioplasty were enrolled in this study. This combined technique was based on abdominoplasty, including reposition of rectus abdominis, umbilical transposition and tightening abdominal wall. Results: A total of 12 patients were included in this study. Umbilical transposition was performed in 9 patients. Skin was resected by 8 to 14 centimetre in width.There were no infection, skin necrosis, and delayed wound healing.Natural abdominal contour has been found in all patients and the abdominal perimeter as well as the waistline have shrunk.Further more, this combined technique has been shown to improve quality of life by reducing pain, restoring function, and increasing satisfaction with appearance.After 3 months to 2 years following up, all patients were satisfied with operative outcomes. Conclusions This combined technique has been shown to be a good choice for postpartum women with diastasis rectus abdominis and lax abdominal wall.