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Technique in thyroid surgery that prevents cervical scar

Endoscopic thyroidectomy by the axillary-mammary route is an innovative technique that allows access to the thyroid without incision in the neck and allows to reach through four points (armpits and mammary aureoles)
through a subcutaneous endoscopic approach. The MútuaTerrassa University Hospital (HUMT) has recently begun to apply it in order to continue betting on minimally invasive and safe surgery, speed up patient recovery, reduce postoperative pain and respond to aesthetic requirements. In addition, this route achieves a better vision and movement of the professional, which facilitates the intervention and gains in versatility.

In this regard, on January 29, the Endocrine Surgery Unit of the General Surgery Service of HUMT carried out a training course with the aim of making this surgical technique known. More widely and train endocrine surgeons in the endoscopic approach of the thyroid via the axillo-mammary route.

In the course of the day clinical cases were presented, live broadcasts were carried out from the operating room and two round tables with experts were also held.

Nearly fifty professionals from all over Spain attended this workshop, which included the participation of several specialists in the aforementioned technique: Dr. Jaime Vilaça (Hospital da Luz de Oporto), Dr. Enrique Gluckmann (Hospital Clínico de Málaga), Dr. Enrique Veloso (Àptima MútuaTerrassa Clinical Center) and Dr. Oscar Vidal (Hospital Clínico de Barcelona).

Origins of endoscopic thyroidectomy by the axillary-mammary route

For years, this technique has been carried out in several countries in Asia, including South Korea and Japan, where this type of scars has a very negative aesthetic connotation, and has proven to be a totally effective alternative to classical incision surgery.

In Europe, the population increasingly calls for the performance of surgical techniques without visible scars, as well as those implemented in other areas of digestive or mammary surgery. In Spain, where the incidence of thyroid disease is high, these techniques are not yet systematically implemented, although more and more the population is demanding approaches that do not involve the social stigmatization often associated with cervical scarring.