Golf News | Royal Bahrain Hospital introduces new technology for non-surgical treatment of thyroid nodules

New technology is being used to treat thyroid and parathyroid tumors using chemotherapy or thermotherapy for the nodules to treat patients who want to be proactive in their care and avoid surgery.

Although most thyroid nodules are benign, they can grow gradually and lead to cosmetic concerns or, rarely, excessive hormonal secretion. Usually, most nodules are surgically removed, but a completely new technique in the hospital’s thyroid clinic Royal Bahrain offers patients with thyroid nodules the option of non-surgical treatment for the first time on Launching in Bahrain. The technology uses a procedure called injectable nodule removal thermal or chemical ablation that can be performed using local anesthesia in the clinic without the need for an overnight stay in hospital.

“This type of procedure is optimal for patients with thyroid or parathyroid nodules that cause those with cosmetic symptoms or hormonal imbalances and who would like to do something more than monitor or move to The surgical option,” says Dr. Ahmed Mardi Ibrahim, Consultant Interventional Radiologist at Royal Bahrain Hospital.

“Interventional radiology is a very advanced science that requires very high medical training and qualification. Its main concept is to be guided by different medical imaging techniques to treat the biggest and most complex problems like cancer and strokes and others and is practiced by an interventional radiologist. mainly in thyroid tumors, the concept behind this technique destroys these thyroid nodules without the need for surgery, explains dr. Ahmed «The procedure includes the placement of a special and relatively thin needle – to avoid surgical incisions – in these nodules as a guide Ultrasound to create a limited heat field within the target tissue using microwaves or thermal frequency or laser . When the tissue temperature rises, you kill the cells there. Each nodule takes a few minutes, no longer to burn, and does not require general anesthesia or a surgical incision. He later requires plastic surgery and does not require the patient to stay in the hospital, but can leave the house within minutes. thermal intervention, the doctor then monitors the nodule every three to six months with an ultrasound. Other fluid-filled nodules may be suctioned out and chemically removed to prevent them from filling again. Usually, therefore, avoid repeated suction or surgery.”

Thermal ablation techniques from a general perspective have been practiced for almost five decades, but this is the latest Mechanism of medical development in relation to thyroid and parathyroid diseases, and in this regard there are some requirements The basic principles of the procedure, which including the presence of benign nodule biopsies and flexible sonography according to guidelines from various societies. Medically, this technique should not be used to treat cancer at this stage. Although there is strong evidence from South Korea and Europe that the technique can be used for cancer, we currently rule out cancer, so the patient must have benign biopsies. The safety of this procedure has been proven in many studies around the world for almost twenty years Time for us to use in Bahrain to provide world class care nationwide without traveling abroad

Dr. Ahmed also mentions that not every nodule in the thyroid gland is a candidate for the use of the thermal ablation technique and is preferred. The nodules are far from critical structures, such as the airway, laryngeal nerve, or major arteries or esophagus. However, it can be treated with the help of safe and supportive technical means, and for nodules that are candidates for thermal excision or Chemical, the data show that it is very effective.

“Recently a lot of progress has been made in South Korea and Europe,” says Dr. Ahmed “We have data showing that this technique is effective and leads to atrophy of thyroid nodules, and complications that are acceptable. Some patients may experience some pain after a non-surgical intervention for a day or two that is no more than the usual home painkillers are not required, and there is little chance of limited bleeding in the nodule compared to surgery and neck incision

Dr. Weam Hussain, a consultant endocrinologist at Royal Bahrain Hospital, said that the distribution of ultrasound imaging High-resolution ultrasound among randomly selected individuals reveals the presence of nodules in healthy people with a percentage of 20%%‭ ‬70%In population studies, the majority are benign. Dr. Wiam states that for the past 20 years he has seen cases daily in his practice where surgery is usually the only option.

Now we treat the cyst with chemical injections or microwave thermal ablation, a procedure that is done in the clinic without general anesthesia or using the operating room and without scar or dangerous complications.

This technology is a new and successful way for many cases that choose this option, and we are happy to introduce it for the first time in Bahrain. Dr. Wiam added that it is not necessary to remove all thyroid nodules and we need to determine the size and if necessary. This procedure was done for cosmetic reasons. The parathyroid gland, which is always surgically removed, can also be treated by surgeons in most cases and monitored for years in other cases.

Dr. Wiam says that at Royal Bahrain Hospital we have established an integrated multidisciplinary clinic for thyroid disorders with a team of consultant endocrinologist, consultant interventional radiologist and thyroid surgeon for all common thyroid disorders in Bahrain.

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