Endocrine Abstracts

The acceptance of any operative or interventional procedures depends on the capability of the surgeon to explain the procedure in detail and also associated complications without undue fear to the patient. The aim of this prospective randomised study is to establish an ideal model for the surgeon to explain. We used three models for explaining the procedure of hemithyroidectomy (removal of diseased lobe plus the isthumus and a cuff of contralateral lobe and pyramidal lobe if p...

Background: In the modern day busy clinical practice the communication between patient/relative and care giver is at minimal level. The patients and relatives feel apprehensive when advised about the surgical/interventional treatment. In such situation they feel the need of detail information from the care givers which on many occasions is not available. Story telling is such a technique of health communication made out in common man language which can be made animated and int...

Case presentation: 73-year-old diabetic, hypertensive and alcoholic Male on treatment for type II diabetes for 25 years, underwent amputation of left great toe and second toe previously had sudden painless swelling of the left foot after a walk. He was diagnosed to have Charcot’s foot and had the appearance of bag of bones in CT scan. He was managed conservatively with immobilization and Custom made shoes.Discussion: Charcot foot is a sudden soften...

BackgroundThyroidectomy is the common most common endocrine surgical procedure varies from Scalpel to Robotic transoral thyroidectomy. Colloid nodules are common and easily operable without any difficulty. We report a phenomenon where in the surgery becomes difficult and lead to complications if not thought with this phenomenon – colloid leak.Material and methodThe endocrine surgeon (Associate Professor)...

Introduction: At present patients and relatives garner more knowledge through website rather than direct interaction with the Consultant physician. We aimed at assessing whether Indian website about Endocrine Surgery matched with their counterpart abroad.Materials and methods: We identified two most searched Endocrine Surgery website world wide and 10 endocrine surgerywebsite maintained by trained Endocrine Surgeons (three years training leading to award...

Background: Adreno cortical carcinoma (ACC) is a rare malignancy associated with aggressive biological behavior and poor outcome. The reported incidence in literature is about approximately two cases per million population’s.These tumors might be functional or non-functional depending on their ability to secrete various adrenocortical hormones. ACC occurring in children and adults show distinct characteristics and there is not much literature regarding the differences. Si...

Introduction: Primary Hyperparathyroidism usually presents as bone disease, renal or with Gastro Intestinal Symptoms. Dental Symptoms as primary or presenting manifestations are rare. We report two patients who presented with edentulous jaw in young age, which resulted in investigations leading to the diagnosis for primary hyperparathyroidism.Material and methods: We report two patients operated in a tertiary referral Centre from Jan 2017–Dec 2017 f...

Introduction: Papillary thyroid carcinoma (PTC) is the most frequent endocrine malignancy. Apart from genetics, autoimmunity has been implicated in its pathogenesis. In this context, we set out study the role of Pro- inflammatory cytokines in PTC in South Indian population.Material and methods: This prospective case-control study was conducted on surgically managed PTC patients. Institutional ethical committee approval was obtained. Diagnosis of PTC was ...

Introduction: Thyroidectomy can performed by open or wide array of endoscopic techniques. Lack of uniform consensus on specific indications for each technique leads to confusion on ideal thyroidectomy technique. In this context, we analysed our experience with specific emphasis on deducing an algorithm on ideal technique for a given patient. Material and methods: This is a retrospective study conducted at a tertiary care endocrine surgery department in S...

Background: Diabetes mellitus (DM) is the commonest endocrinopathy, Worldwide. Amongst the protean complex genetic variations, cubulin gene and megalin gene mutations in diabetes are important in dictating genotype-phenotypic correlations and natural clinical course of diabetes. The genetic studies in this area are especially very sparse from Indian sub-continent. In this context, we analyzed the prevalence of cubulin (CBN) and megalin (LRP2) gene mutations, as part of NGS (Ne...